Provider Demographics
NPI:1992178032
Name:PILAT RZESZUTO, MAGGIE H (ND)
Entity Type:Individual
Prefix:DR
First Name:MAGGIE
Middle Name:H
Last Name:PILAT RZESZUTO
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 E WOODFIELD RD STE 308
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-4984
Mailing Address - Country:US
Mailing Address - Phone:847-485-2650
Mailing Address - Fax:
Practice Address - Street 1:1300 E WOODFIELD RD STE 308
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-4984
Practice Address - Country:US
Practice Address - Phone:847-485-2650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-11
Last Update Date:2023-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT099.0134181175F00000X
175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath