Individual
BOGDAN MATUSZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
736 W 35TH ST, CHICAGO, IL 60616-4484
(773) 247-2131
Mailing address
736 W 35TH ST, CHICAGO, IL 60616-4484
(773) 247-2131
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070007532
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070007532
LICENSE NUMBER
IL
Enumeration date
05/20/2010
Last updated
05/20/2010
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