Teresa a. Wanczyk

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

036065883 Issued in IL

Legal business name

TERESA A. WANCZYK

Practice address

3420 W Peterson Ave
Suite 6
Chicago, IL 60659-3418

Phone

(773) 271-2900

Fax

(773) 267-6113

NPI assigned

Dec 27, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Teresa A Grosvenor, M.S.,D.O.

Title

Physician

Phone

(773) 271-2900

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Earle Ronald Kelwyn Grosvenor, MA, LPC

  • Professional Counselor
  • Chicago, IL
  • NPI 1740554567
  NPD (past)
• Teresa A. Wanczyk, DO

  • General Practice Physician
  • Chicago, IL
  • NPI 1285732198

  Neuromusculoskeletal Medicine & Omm

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1293408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1275837734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 W PETERSON AVE",
            "address_2": "SUITE 6",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593418",
            "telephone_number": "773-271-2900",
            "fax_number": "773-267-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 W PETERSON AVE",
            "address_2": "SUITE 6",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593418",
            "telephone_number": "773-271-2900",
            "fax_number": "773-267-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA A. WANCZYK",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-27",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "GROSVENOR",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "773-271-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.S.,D.O."
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "IL",
            "license": "036065883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felipe Teran Merino, M.D.
• Roger Teran, MD
• Rachel Catherine Tercek, PH.D.
• Vanessa Carolina Tercero
• Terence P. Sullivan, MD, SC
• Teresa Pangan PLLC
• Jenna A Terhall, DPT
• Elizabeth Bailey Terhune, MD
• Teri Cicurel, LCPC, PLLC
• Anouar Teriaky, M.D.

• Neuromusculoskeletal Medicine & OMM Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.