Provider Demographics
NPI:1295950509
Name:GORKA-BARCZYK, MARIA (CHILD DEV SPECIALIST)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:
Last Name:GORKA-BARCZYK
Suffix:
Gender:F
Credentials:CHILD DEV SPECIALIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3739 N OCONTO AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60634-3525
Mailing Address - Country:US
Mailing Address - Phone:773-625-0230
Mailing Address - Fax:773-625-6736
Practice Address - Street 1:3739 N OCONTO AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60634-3525
Practice Address - Country:US
Practice Address - Phone:773-625-0230
Practice Address - Fax:773-625-6736
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist