Wanczyk, Teresa A.

Wanczyk, Teresa A. is an sole proprietor health care provider with primary practice located at 3414 W Peterson Ave Ste. D, Chicago IL 60659-3452. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Wanczyk, Teresa A. can be contacted via phone (773) 271-2900.

Contact Information

Primary practice address
3414 W Peterson Ave Ste. D Chicago IL 60659-3452
Phone: (773) 271-2900
Fax: (773) 267-6113
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 036-065883 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-065883 Illinois
Allopathic & Osteopathic Physicians / General Practice 208D00000X 036-065883 Illinois

Profile Details

NPI number 1285732198
LBN Legal business name Wanczyk, Teresa A.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2006
Last updated Jun 25th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285732198 NPPES
Illinois MEDICAID 036065883

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