Whalio Doctors

NPI 1275837734

Teresa A. Wanczyk

Organisation Neuromusculoskeletal Medicine & OMM Physician Chicago, IL

Practice location

Address
3420 W Peterson Ave Suite 6, Chicago, IL 60659-3418
Phone
(773) 271-2900
Fax
(773) 267-6113

Authorised official

Name
Teresa a Grosvenor
Title
Physician
Phone
(773) 271-2900

Registered specialties

Neuromusculoskeletal Medicine & OMM Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 204D00000X Licence 036065883 (IL)

Registry record

NPI
1275837734
Entity type
Organization
NPI issued
27 Dec 2010
Record last updated
5 Jan 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.