TERESA A. WANCZYK (NPI# 1275837734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275837734 |
| Entity Type | Organization |
| Organization Name | TERESA A. WANCZYK |
| Practice Address |
3420 W Peterson Ave Suite 6 Chicago IL 60659-3418 |
| Practice Telephone | 7732712900 |
| Practice Fax Number | 7732676113 |
| Mailing Telephone | 7732712900 |
| Mailing Fax Number | 7732676113 |
| Enumeration Date | 2010-12-27 |
| Last Update Date | 2011-01-05 |
| Authorized Official Name | DR. TERESA A GROSVENOR (PHYSICIAN) |
| Authorized Official Telephone | 7732712900 |
| Authorized Official Credential | M.S.,D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | 036065883 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
3420 W PETERSON AVE SUITE 6 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60659-3418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568419778 | Mediquest Diagnostic Center S.c | Radiologic Technologist | 3420 W Peterson Ave, Chicago, IL 60659-3418 | 2006-05-31 |
| 1740554567 | Earle Ronald Kelwyn Grosvenor | Counselor | 3420 W Peterson Ave, Suite 6, Chicago, IL 60659-3418 | 2012-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811425 | Devon Homecare Physicians Inc. | Family Medicine | 2822 W. Granville Ave. Apt 1, Chicago, IL 60659 | 2020-11-03 |
| 1932724200 | Tatyana Menaker | Nurse Practitioner | 2958 West Devon Ave, Chicago, IL 60659 | 2020-06-12 |
| 1508410069 | Kara Lyn Anderson | Counselor | 2551 W. Peterson Ave, Chicago, IL 60659 | 2019-08-01 |
| 1568980019 | Saba Suleman | Counselor | 5815 N Spaulding Ave Apt 3a, Chicago, IL 60659 | 2017-09-05 |
| 1639695257 | Go Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5862 N Lincoln Ave, Suite 4, Chicago, IL 60659 | 2017-08-15 |
| 1972039568 | Trilogy, Inc. | Community/Behavioral Health | 2551 W Peterson Ave, Chicago, IL 60659 | 2017-05-03 |
| 1689029050 | Soulu | Voluntary or Charitable | 3557 W Peterson Ave #122, Chicago, IL 60659 | 2016-05-04 |
| 1730540550 | Michael Wei-tsi Chien | Dentist | 3425 W Peterson Ave Ste 107, Chicago, IL 60659 | 2016-03-08 |
| 1497129688 | Acquaint Homecare LLC | Home Health | 3525 West Peterson Avenue, Unit 118, Chicago, IL 60659 | 2015-11-25 |
| 1083054621 | Rebecca Schnell | Speech-Language Pathologist | 6124 N Saint Louis Ave, Chicago, IL 60659 | 2013-06-27 |
| Find all providers in zip 60659 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558462531 | Kurt P Heinking | Neuromusculoskeletal Medicine & OMM | 26520 Network Pl, Chicago, IL 60673-1265 | 2006-09-25 |
| 1568816254 | Gold Coast Osteopathic, Psc | Neuromusculoskeletal Medicine & OMM | 680 N Lake Shore Dr, Suite 1040, Chicago, IL 60611-4546 | 2016-04-19 |
| 1114124278 | Fernando D Testai | Neuromusculoskeletal Medicine & OMM | 1740 W Taylor St, Chicago, IL 60612-7232 | 2007-06-29 |
| 1417159310 | Qin Li Jiang | Neuromusculoskeletal Medicine & OMM | 912 S Wood St, Rm 855n, Mc796, Chicago, IL 60612-4300 | 2007-06-03 |
| 1528185451 | Sandra Jane Olson | Neuromusculoskeletal Medicine & OMM | 675 N Saint Clair St, 20th Floor, Chicago, IL 60611-5975 | 2007-03-24 |
| 1922177351 | Jan Lei Iwata | Neuromusculoskeletal Medicine & OMM | 1 E Superior St, 307, Chicago, IL 60611-2507 | 2006-11-07 |
| 1285732198 | Teresa A. Wanczyk | Neuromusculoskeletal Medicine & OMM | 3414 W Peterson Ave, Ste. D, Chicago, IL 60659-3452 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639436330 | Christopher Sugihara Ngo | Neuromusculoskeletal Medicine & OMM | 2135 Dorothy Dr Ste 6, Belleville, IL 62223-7751 | 2012-04-19 |
| 1770749434 | Cheryl B Schwartz | Neuromusculoskeletal Medicine & OMM | 240 Saunders Road, Riverwoods, IL 60015-3835 | 2008-08-01 |
| 1114063989 | Gajda Sports Medical Center Ltd | Neuromusculoskeletal Medicine & OMM | 400 Lake Cook Road Suite 200c, Deerfield, IL 60015 | 2007-01-29 |
| 1750453858 | Carol Calhoun Williams | Neuromusculoskeletal Medicine & OMM | 124 E 8th St, Gibson City, IL 60936-1455 | 2006-11-14 |
| 1336225317 | Advantage Medical Group S.c. | Neuromusculoskeletal Medicine & OMM | 12770 S Harlem Ave, Palos Heights, IL 60463-2145 | 2006-10-31 |
| 1851485346 | Bernadette Goheen Kohn | Neuromusculoskeletal Medicine & OMM | 5404 W. Elm Street, Suite Q, Mchenry, IL 60050-4052 | 2006-10-02 |
| 1669429908 | Lee Peter Bee | Neuromusculoskeletal Medicine & OMM | 107 W Franklin St, Sesser, IL 62884-1456 | 2006-05-30 |
| 1245293794 | James Randall Sigler | Neuromusculoskeletal Medicine & OMM | 909 W 3rd St, Mount Carmel, IL 62863-1718 | 2006-04-07 |
| 1841250339 | Edward A Trudeau | Neuromusculoskeletal Medicine & OMM | 319 E Madison St Ste 2a, Springfield, IL 62701-1035 | 2006-03-27 |
| 1356315246 | Mark Jennings | Neuromusculoskeletal Medicine & OMM | Pediatric Neurology, 515 Ne Glen Oak #308, Peoria, IL 61603 | 2006-02-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.