Provider Demographics
NPI:1639966674
Name:RYDWELSKI FAMILY LLC
Entity type:Organization
Organization Name:RYDWELSKI FAMILY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:RYDWELSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-926-4056
Mailing Address - Street 1:2142 HULL CT
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60565-2628
Mailing Address - Country:US
Mailing Address - Phone:630-926-4056
Mailing Address - Fax:
Practice Address - Street 1:640 S WASHINGTON ST STE 212
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-6789
Practice Address - Country:US
Practice Address - Phone:630-281-7270
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care