OrganizationActive
Teresa A. Wanczyk
NPI 1275837734 · Neuromusculoskeletal Medicine & OMM Physician · Chicago, IL
Provider details
- NPI number
- 1275837734
- Entity type
- Organization
- Primary specialty
- Neuromusculoskeletal Medicine & OMM PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Teresa Grosvenor, Physician(773) 271-2900
- License
- 036065883 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3420 W Peterson Ave
Suite 6
Chicago, IL 60659-3418
Phone: (773) 271-2900
Fax: (773) 267-6113
Approximate (ZIP-level) locationGet directions
Mailing address
3420 W Peterson Ave
Chicago, IL 60659-3418
Registry dates
- Enumerated
- 2010-12-27
- Last updated
- 2011-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.