Czarnecki, David

Czarnecki, David is an individual health care provider with primary practice located at 13114 Western Ave , Blue Island IL 60406-2439. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Czarnecki, David can be contacted via phone (708) 824-0515.

Contact Information

Primary practice address
13114 Western Ave Blue Island IL 60406-2439
Phone: (708) 824-0515
Fax: (708) 824-0517
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 160000470 Illinois

Profile Details

NPI number 1760520217
LBN Legal business name Czarnecki, David
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2007
Last updated May 21st, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1760520217 NPPES
Illinois Other 160000470 LICENSE

Popular Providers