Mierzwa, Witold Jan

Mierzwa, Witold Jan is an individual health care provider with primary practice located at 11600 S Kedzie Ave Suite K, Merrionette Park IL 60803. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Mierzwa, Witold Jan can be contacted via phone (708) 371-6441.

Contact Information

Primary practice address
11600 S Kedzie Ave Suite K Merrionette Park IL 60803
Phone: (708) 371-6441
Fax: (708) 371-6429
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1730254004
LBN Legal business name Mierzwa, Witold Jan
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2006
Last updated Jul 8th, 2007 - about 17 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.

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