Christopher J Bieszk

Individual provider Active NPI Behavior Analyst · Villa Park, IL

NPI 1265294458 · NPPES record last updated Apr 24, 2026

Key facts

NPI
1265294458
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
220 E Roosevelt Rd
Villa Park, IL 60181-3500
Phone
(630) 601-8625
Fax
(224) 875-3034
NPI assigned
Jan 24, 2024
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes
Behavior Technician 106S00000X

Addresses

Primary practice location

220 E Roosevelt Rd
Villa Park, IL 60181-3500

Mailing address

220 E Roosevelt Rd
Villa Park, IL 60181-3500
Phone (630) 601-8625

Other providers in Villa Park, IL

All providers in Villa Park, IL · Behavior Analyst in Illinois

Sources for this page

Verify at the official NPI Registry.