Provider Type Icon

TERESA A. WANCZYK NPI 1275837734


NPI Information

NPI: 1275837734
Provider Name: TERESA A. WANCZYK
Classification: Neuromusculoskeletal Medicine & OMM - 204D00000X
Entity Type: Organization
Address:
3420 W PETERSON AVE
SUITE 6
CHICAGO, IL
ZIP 60659
Phone: (773) 271-2900
Get Directions

TERESA A. WANCZYK is a neuromusculoskeletal medicine omm in Chicago, IL. The provider is the Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. TERESA A. WANCZYK NPI is 1275837734. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3420 W PETERSON AVE
SUITE 6
CHICAGO, IL
ZIP 60659-418
Phone: (773) 271-2900
Fax: (773) 267-6113

The provider's authorized official is Teresa A Grosvenor .
The authorized official title is Physician and has the following contact phone number (773) 271-2900.

The enumeration date for this NPI number is 12/27/2010 and was last updated on 1/5/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204D00000XNeuromusculoskeletal Medicine & OMM036065883ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1734260MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.