Individual
DAN CIECHANOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2547 PLAINFIELD NAPERVILLE RD STE 152, NAPERVILLE, IL 60564-8701
(800) 974-4378
(630) 515-1536
Mailing address
2547 PLAINFIELD NAPERVILLE RD STE 152, NAPERVILLE, IL 60564-8701
(800) 974-4378
(630) 515-1536
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070019707
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070019707
PHYSICAL THERAPIST LICENSE
IL
Enumeration date
01/31/2018
Last updated
01/31/2018
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