Provider Demographics
NPI:1336664648
Name:DOBRZYNSKI, ERICK (DC)
Entity Type:Individual
Prefix:DR
First Name:ERICK
Middle Name:
Last Name:DOBRZYNSKI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1546A 75TH ST
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60516-6205
Mailing Address - Country:US
Mailing Address - Phone:630-708-7877
Mailing Address - Fax:
Practice Address - Street 1:1546A 75TH ST
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60516-6205
Practice Address - Country:US
Practice Address - Phone:630-708-7877
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.013082111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor