Wesolowski, Derek
Wesolowski, Derek is an individual health care provider with primary practice located at 1975 Lin Lor Ln , Elgin IL 60123-4902. 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. Wesolowski, Derek can be contacted via phone (847) 468-6098.Contact Information
Primary practice address
1975 Lin Lor Ln
Elgin IL 60123-4902
Phone: (847) 468-6098
Fax: (847) 468-6095
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | Illinois |
Profile Details
NPI number | 1467658286 |
---|---|
LBN Legal business name | Wesolowski, Derek |
Credentials | MSPT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 27th, 2007 |
Last updated | Feb 26th, 2008 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1467658286 | NPPES |
Other | CF2064 | RAILROAD GROUP | |
Other | 753210 | RAILROAD GROUP | |
Other | K39995 | RAILROAD GROUP |
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