Provider Demographics
NPI:1942548425
Name:SIKORSKI-SZCZUPAK, IWONA
Entity Type:Individual
Prefix:MRS
First Name:IWONA
Middle Name:
Last Name:SIKORSKI-SZCZUPAK
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:IWONA
Other - Middle Name:
Other - Last Name:KARWOWSKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3120 DELL PL
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60025-2627
Mailing Address - Country:US
Mailing Address - Phone:847-832-9516
Mailing Address - Fax:
Practice Address - Street 1:3120 DELL PL
Practice Address - Street 2:
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60025-2627
Practice Address - Country:US
Practice Address - Phone:847-832-9516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-17
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist