Individual
DR. ROBIN W KAWECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2307 LAPORTE AVE, SUITE 4, VALPARAISO, IN 46383-6996
(219) 902-6955
(219) 228-8442
Mailing address
7230 OLCOTT AVE, NONESUCH HOUSE, HAMMOND, IN 46323-2044
(219) 902-6955
(219) 228-8442
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038007667
IL
111N00000X
Chiropractor
Primary
08001253A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100424280C
—
IN
01
—
M300038971
MEDICARE PTAN
IN
Enumeration date
02/28/2007
Last updated
03/14/2013
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