MARK ANTHONY PEDZIWIATR NPI 1669943700

NPI Information

NPI: 1669943700
Provider Name: MARK ANTHONY PEDZIWIATR
Classification: Physical Therapist - 2251H1200X
Entity Type: Individual

Specialization: Hand

Address:
1259 RICKERT DR STE 201
NAPERVILLE, IL
ZIP 60540
Phone: (630) 967-2000
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Mark Anthony Pedziwiatr is a hand physical therapist in Naperville, IL. Mark Anthony Pedziwiatr NPI is 1669943700. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1259 RICKERT DR STE 201
NAPERVILLE, IL
ZIP 60540-904
Phone: (630) 967-2000

The enumeration date for this NPI number is 12/16/2018 and was last updated on 2/11/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2251H1200X	Physical Therapist	Hand	056012898	ILLINOIS	Yes

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: 4/28/2024

NPI Synchronization or Removal

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