| Doctor Name: | MR. PIOTR NORBERT DOMAGALA |
| NPI Number: | 1558411561 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | |
| Business Practice Address: | 15 E Palatine Rd Suite #104 Prospect Heights, IL - 600701800 |
| Business Phone Number: | 8474594779 |
| Business Fax Number: | 8474795771 |
| Mailing Address: | 11 Lynnbrook Dr, PROSPECT HEIGHTS |
| State: | IL |
| Postal Code: | 600701022 |
| Phone Number: | 8472791120 |
| Fax Number: | 8474595771 |
| NPI Enumeration Date: | 01/11/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251G0304X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Geriatrics |
| Taxonomy Definition: | |