Provider Demographics
NPI:1922177930
Name:PAWLUSIEWICZ, ALBERT
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:
Last Name:PAWLUSIEWICZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1430 N ARLINGTON HEIGHTS RD
Mailing Address - Street 2:201
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-4830
Mailing Address - Country:US
Mailing Address - Phone:847-670-1111
Mailing Address - Fax:847-670-1113
Practice Address - Street 1:1430 N ARLINGTON HEIGHTS RD
Practice Address - Street 2:201
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-4830
Practice Address - Country:US
Practice Address - Phone:847-670-1111
Practice Address - Fax:847-670-1113
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2015-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038009733111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor