Provider Demographics
NPI:1134224264
Name:PAPROCKI, GREGORY (PT, DPT, PHD)
Entity type:Individual
Prefix:
First Name:GREGORY
Middle Name:
Last Name:PAPROCKI
Suffix:
Gender:M
Credentials:PT, DPT, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21270 QUENTIN RD
Mailing Address - Street 2:
Mailing Address - City:KILDEER
Mailing Address - State:IL
Mailing Address - Zip Code:60047-9332
Mailing Address - Country:US
Mailing Address - Phone:847-791-2191
Mailing Address - Fax:
Practice Address - Street 1:800 E. NORTHWEST HIGHWAY,
Practice Address - Street 2:SUITE 940
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60074
Practice Address - Country:US
Practice Address - Phone:847-221-2222
Practice Address - Fax:866-215-3065
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist