Provider Demographics
NPI:1629190426
Name:BIGAJ, GRZEGORZ (DN, LAC)
Entity type:Individual
Prefix:DR
First Name:GRZEGORZ
Middle Name:
Last Name:BIGAJ
Suffix:
Gender:M
Credentials:DN, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7900 N. MILWAUKEE AVE., SUITE # 2-29
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:IL
Mailing Address - Zip Code:60714-3159
Mailing Address - Country:US
Mailing Address - Phone:773-879-7401
Mailing Address - Fax:224-531-7837
Practice Address - Street 1:7900 N. MILWAUKEE AVE., SUITE # 2-29
Practice Address - Street 2:
Practice Address - City:NILES
Practice Address - State:IL
Practice Address - Zip Code:60714-3159
Practice Address - Country:US
Practice Address - Phone:773-879-7401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL181000300172P00000X
IL198001505171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No172P00000XOther Service ProvidersNaprapath
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1633330OtherBCBS