Provider Demographics
NPI:1942548425
Name:SIKORSKI-SZCZUPAK, IWONA
Entity type:Individual
Prefix:MRS
First Name:IWONA
Middle Name:
Last Name:SIKORSKI-SZCZUPAK
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:IWONA
Other - Middle Name:
Other - Last Name:KARWOWSKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1130 CASTLE DRIEV
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60025
Mailing Address - Country:US
Mailing Address - Phone:847-510-8357
Mailing Address - Fax:
Practice Address - Street 1:1130 CASTLE DR
Practice Address - Street 2:
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60025-2404
Practice Address - Country:US
Practice Address - Phone:847-510-8357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-17
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2170003262355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language AssistantGroup - Single Specialty