Provider Demographics
NPI:1437326790
Name:SIERSZULSKI, ROBERT TOMASZ (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:TOMASZ
Last Name:SIERSZULSKI
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 1:124 S COUNTY FARM RD STE B
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-4596
Mailing Address - Country:US
Mailing Address - Phone:630-784-8500
Mailing Address - Fax:630-784-0885
Practice Address - Street 1:124 S COUNTY FARM RD STE B
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-4596
Practice Address - Country:US
Practice Address - Phone:630-784-8500
Practice Address - Fax:630-784-0885
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-14
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.011173111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor