Spizewski, Jack

Spizewski, Jack is an individual health care provider with primary practice located at 1620 N La Salle Dr , Chicago IL 60614-6005. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as his primary health care specialty. Spizewski, Jack can be contacted via phone (312) 943-3600.

Contact Information

Primary practice address
1620 N La Salle Dr Chicago IL 60614-6005
Phone: (312) 943-3600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 70010155 Illinois

Profile Details

NPI number 1962536128
LBN Legal business name Spizewski, Jack
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Jul 8th, 2007 - about 19 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 1962536128 NPPES
Illinois MEDICAID 103034

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