Provider Demographics
NPI:1013972694
Name:NECZEK, JOSEPH S (MS, RKT)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:S
Last Name:NECZEK
Suffix:
Gender:M
Credentials:MS, RKT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:564 GREEN VALLEY DR W
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-2530
Mailing Address - Country:US
Mailing Address - Phone:630-620-1220
Mailing Address - Fax:
Practice Address - Street 1:5TH AVENUE & ROOSEVELT RD
Practice Address - Street 2:
Practice Address - City:HINES
Practice Address - State:IL
Practice Address - Zip Code:60141
Practice Address - Country:US
Practice Address - Phone:708-202-2654
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes226300000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersKinesiotherapist