Provider Demographics
NPI:1598938730
Name:PNIAK, ARTUR W (PT)
Entity Type:Individual
Prefix:
First Name:ARTUR
Middle Name:W
Last Name:PNIAK
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:ARTUR
Other - Middle Name:
Other - Last Name:WOJCIECH PNIAK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:790 REMINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-4909
Mailing Address - Country:US
Mailing Address - Phone:630-296-2223
Mailing Address - Fax:
Practice Address - Street 1:1407 S LAKE PARK AVE
Practice Address - Street 2:UNIT A
Practice Address - City:HOBART
Practice Address - State:IN
Practice Address - Zip Code:46342-6635
Practice Address - Country:US
Practice Address - Phone:219-947-3637
Practice Address - Fax:219-947-5267
Is Sole Proprietor?:No
Enumeration Date:2008-04-09
Last Update Date:2015-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05007060A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist