Provider Demographics
NPI:1831244219
Name:FILIPIAK, IREK
Entity type:Individual
Prefix:MR
First Name:IREK
Middle Name:
Last Name:FILIPIAK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1327 W 32ND PL
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60608-6304
Mailing Address - Country:US
Mailing Address - Phone:773-847-3232
Mailing Address - Fax:773-847-3464
Practice Address - Street 1:1327 W 32ND PL
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60608-6304
Practice Address - Country:US
Practice Address - Phone:773-847-3232
Practice Address - Fax:773-847-3464
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
IL225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist