Provider Demographics
NPI:1437102506
Name:CZARNECKI, ROBERT ANDREW (DC)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:ANDREW
Last Name:CZARNECKI
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 1:2200 W HIGGINS RD
Mailing Address - Street 2:SUITE 235 CZARNECKI CHIROPRACTIC CENTRE
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-2426
Mailing Address - Country:US
Mailing Address - Phone:847-884-8848
Mailing Address - Fax:847-884-6551
Practice Address - Street 1:2200 W HIGGINS RD
Practice Address - Street 2:SUITE 235 CZARNECKI CHIROPRACTIC CENTRE
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-2426
Practice Address - Country:US
Practice Address - Phone:847-884-8848
Practice Address - Fax:847-884-6551
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-18
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL710480Medicare UPIN