Doctor Name: | PAUL USTRZYNSKI |
NPI Number: | 1851691513 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | R.N. |
License Number: | 041377360 |
Business Practice Address: | 936 Cortney Dr Carpentersville, IL - 601103109 |
Business Phone Number: | 7736143400 |
Business Fax Number: | |
Mailing Address: | 936 Cortney Dr, CARPENTERSVILLE |
State: | IL |
Postal Code: | 601103109 |
Phone Number: | 7736143400 |
Fax Number: | |
NPI Enumeration Date: | 10/28/2010 |
NPI Last Update Date: | 10/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WM0705X |
License Number: | 041377360 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Medical-Surgical |
Taxonomy Definition: |