Provider Demographics
NPI:1922707868
Name:CZAPLICKI, KRISTINE D (MED)
Entity Type:Individual
Prefix:
First Name:KRISTINE
Middle Name:D
Last Name:CZAPLICKI
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16432 W SPLIT RAIL DR
Mailing Address - Street 2:
Mailing Address - City:LOCKPORT
Mailing Address - State:IL
Mailing Address - Zip Code:60441-4693
Mailing Address - Country:US
Mailing Address - Phone:708-268-6309
Mailing Address - Fax:
Practice Address - Street 1:16432 W SPLIT RAIL DR
Practice Address - Street 2:
Practice Address - City:LOCKPORT
Practice Address - State:IL
Practice Address - Zip Code:60441-4693
Practice Address - Country:US
Practice Address - Phone:708-268-6309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-28
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist