Magdalena Gajowniczek, PT
Individual provider Active NPI Physical Therapist · Hawthorn Woods, IL
NPI 1336274232 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1336274232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 77 Miller Rd
Hawthorn Woods, IL 60047-3503 - Phone
- (773) 814-2670
- NPI assigned
- Feb 22, 2007
- Sex
- Female
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.006806 | IL | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | IL | Yes |
Addresses
Primary practice location
77 Miller Rd
Hawthorn Woods, IL 60047-3503
Mailing address
77 Miller Rd
Hawthorn Woods, IL 60047-3503
Other providers in Hawthorn Woods, IL
- Emma Pearl Capulong
- Gina C Copeland
- Magdalena Curylo
- Dental Professionals of Illinois, P.C.
- John C Edgar
- Charles Lowell Goodall
- Clay Sheldon Green
- Jamie Greenstein
- Lauren Gregorcy
- Hawthorn Woods Family Eye Care Inc.
All providers in Hawthorn Woods, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.