Melissa Catherine Iwanicki
Physical Therapist - Pediatrics
66 Miller Dr
North Aurora
, Illinois 60542-5143
Melissa Catherine Iwanicki
Physical Therapist - Pediatrics
66 Miller Dr
North Aurora
, Illinois 60542-5143
(630) 907-9195
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About
Features
Specialties
- Physical Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Melissa Catherine Iwanicki
- 66 Miller Dr Ste 102
- North Aurora, IL
- Zip : 60542-5144
- Fax : (630) 907-9195
- Phone : (630) 907-9165
Second Address
- Melissa Catherine Iwanicki
- 66 Miller Dr
- North Aurora, IL
- Zip : 60542-5143
- Phone : (630) 907-9165
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251P0200X | Physical Therapist - Pediatrics | 070.011765 | IL |
National Provider Identifier
| NPI | 1124593959 |
|---|---|
| Provider Name | Melissa Catherine Iwanicki |
| First Address | North Aurora, IL 60542-5144 |
| Second Address | North Aurora, IL 60542-5143 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/10/2018 |
| Last Update Date | 08/10/2018 |
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.