Active NPI
Katarzyna M Lazarczuk, PT
- Physical Therapist
- Glendale Heights,, IL
National Provider Identifier
1699100156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.019061
- Practice address
- 2190 Gledstone Drive
Unit B
Glendale Heights,, IL 60139 - Phone
- (630) 307-0200
- Fax
- (312) 377-1664
- NPI assigned
- Sep 3, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.019061 | IL | Primary |
Addresses
Primary practice location
2190 Gledstone Drive
Unit B
Glendale Heights,, IL 60139
Mailing address
331 Silverwood CT
C 2
Schaumburg, IL 60193
Phone (630) 307-0200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.019061 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378166400000",
"number": "1699100156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 SILVERWOOD CT",
"address_2": "C 2",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "60193",
"telephone_number": "630-307-0200",
"fax_number": "312-377-1664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2190 GLEDSTONE DRIVE",
"address_2": "UNIT B",
"city": "GLENDALE HEIGHTS,",
"state": "IL",
"postal_code": "60139",
"telephone_number": "630-307-0200",
"fax_number": "312-377-1664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAZARCZUK",
"first_name": "KATARZYNA",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-03",
"last_updated": "2013-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.019061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale Heights,, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.