Dr. Teresa A. Wanczyk
Pediatrician General Practice Physician Neuromusculoskeletal Medicine (NMM)
3414 W Peterson Ave Ste. D
Chicago
, Illinois 60659-3452
Dr. Teresa A. Wanczyk
Pediatrician General Practice Physician Neuromusculoskeletal Medicine (NMM)
3414 W Peterson Ave Ste. D
Chicago
, Illinois 60659-3452
(773) 267-6113
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
- Pediatrician
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Teresa A. Wanczyk
- 6234 N Albany Ave
- Chicago, IL
- Zip : 60659-1402
- Fax : (773) 267-6113
- Phone : (773) 271-2900
Second Address
- Dr. Teresa A. Wanczyk
- 3414 W Peterson Ave Ste. D
- Chicago, IL
- Zip : 60659-3452
- Fax : (773) 267-6113
- Phone : (773) 271-2900
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 036-065883 | IL |
| N | 208000000X | Pediatrician | 036-065883 | IL |
| Y | 208D00000X | General Practice Physician | 036-065883 | IL |
National Provider Identifier
| NPI | 1285732198 |
|---|---|
| Provider Name | Dr. Teresa A. Wanczyk |
| First Address | Chicago, IL 60659-1402 |
| Second Address | Chicago, IL 60659-3452 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/09/2006 |
| Last Update Date | 25/06/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036065883 | (05) | IL |
| C43891 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.