Individual
DEREK WESOLOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
1975 LIN LOR LN, ELGIN, IL 60123-4902
(847) 468-6098
(847) 468-6095
Mailing address
2525 KANEVILLE RD, GENEVA, IL 60134-2578
(630) 584-1411
(630) 513-2630
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
753210
MEDICARE GROUP
—
01
—
CF2064
RAILROAD GROUP
—
01
—
K39995
MEDICARE
IL
Enumeration date
06/27/2007
Last updated
02/26/2008
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