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Contact Information

TERESA A WANCZYK, DO
3414 W PETERSON AVE
STE. D
CHICAGO, IL60659-3452
 Phone: 773-271-2900
 Fax: 773-267-6113
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for TERESA A WANCZYK · (Female)

NPI Number 1285732198
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 09/21/2006
Last updated 06/25/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036-065883
  • IL Medicaid 036065883
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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