| Doctor Name: | LUKASZ RYCZEK |
| NPI Number: | 1184097792 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 041413948 |
| Business Practice Address: | 6950 W Forest Preserve Dr Apt 213 Norridge, IL - 607067196 |
| Business Phone Number: | 7732250933 |
| Business Fax Number: | |
| Mailing Address: | 6950 W Forest Preserve Dr Apt 213, NORRIDGE |
| State: | IL |
| Postal Code: | 607067196 |
| Phone Number: | 7732250933 |
| Fax Number: | |
| NPI Enumeration Date: | 11/04/2015 |
| NPI Last Update Date: | 11/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2865M2000X |
| License Number: | 041413948 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Military Hospital |
| Taxonomy Specialization: | Military General Acute Care Hospital |
| Taxonomy Definition: | A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in |