Provider Demographics
NPI:1689876849
Name:BRZEZINSKA, BEATA
Entity Type:Individual
Prefix:MRS
First Name:BEATA
Middle Name:
Last Name:BRZEZINSKA
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 1:1136 S HADDOW AVE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-3228
Mailing Address - Country:US
Mailing Address - Phone:847-437-0947
Mailing Address - Fax:847-437-0947
Practice Address - Street 1:1136 S HADDOW AVE
Practice Address - Street 2:
Practice Address - City:ARLINGTON HTS
Practice Address - State:IL
Practice Address - Zip Code:60005-3228
Practice Address - Country:US
Practice Address - Phone:847-437-0947
Practice Address - Fax:847-437-0947
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist