Individual
ANDREW JAMES HAJDUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070-017222
IL
225100000X
Physical Therapist
Primary
11862-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00750703
MEDICARE RAILROAD
IL
Enumeration date
06/29/2009
Last updated
04/19/2017
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