Provider Demographics
NPI:1518426261
Name:BIERNACKI, ALEKSANDRA K
Entity Type:Individual
Prefix:
First Name:ALEKSANDRA
Middle Name:K
Last Name:BIERNACKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1811 BOLLEANA CT
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60192-1514
Mailing Address - Country:US
Mailing Address - Phone:312-804-4448
Mailing Address - Fax:
Practice Address - Street 1:1811 BOLLEANA CT
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60192-1514
Practice Address - Country:US
Practice Address - Phone:312-804-4448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-12
Last Update Date:2019-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL160007146225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant