Provider Demographics
NPI:1003259540
Name:CZAPLINSKI, BOGUMILA W (RD)
Entity Type:Individual
Prefix:
First Name:BOGUMILA
Middle Name:W
Last Name:CZAPLINSKI
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2953 CENTRAL ST FL 1
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-1245
Mailing Address - Country:US
Mailing Address - Phone:847-869-9436
Mailing Address - Fax:847-869-9491
Practice Address - Street 1:2953 CENTRAL ST FL 1
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-1245
Practice Address - Country:US
Practice Address - Phone:847-869-9436
Practice Address - Fax:847-869-9491
Is Sole Proprietor?:No
Enumeration Date:2013-04-15
Last Update Date:2013-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL164001117133VN1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal