Individual
LUKASZ RYCZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6950 W FOREST PRESERVE DR APT 213, NORRIDGE, IL 60706-7196
(773) 225-0933
Mailing address
6950 W FOREST PRESERVE DR APT 213, NORRIDGE, IL 60706-7196
(773) 225-0933
Taxonomy
Speciality
Code
Description
License number
State
2865M2000X
Military General Acute Care Hospital
Primary
041413948
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6950
VA EMPLOYMENT
IL
Enumeration date
11/04/2015
Last updated
11/04/2015
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