NPI 1275837734
Teresa A. Wanczyk
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
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.