Provider Demographics
NPI:1366564189
Name:SZKUDLAREK, WARREN EDWARD SR (NAPRAPTH DN)
Entity type:Individual
Prefix:MR
First Name:WARREN
Middle Name:EDWARD
Last Name:SZKUDLAREK
Suffix:SR
Gender:M
Credentials:NAPRAPTH DN
Other - Prefix:DR
Other - First Name:WARREN
Other - Middle Name:
Other - Last Name:SZKUDLAREK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DN
Mailing Address - Street 1:2937 LOGAN BLVD
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-1760
Mailing Address - Country:US
Mailing Address - Phone:773-490-0130
Mailing Address - Fax:773-384-6598
Practice Address - Street 1:2937 LOGAN BLVD
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60647-1760
Practice Address - Country:US
Practice Address - Phone:773-490-0130
Practice Address - Fax:773-384-6598
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL172P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172P00000XOther Service ProvidersNaprapath