Provider Demographics
NPI:1396162277
Name:KRUPPIK, EWELINA DOROTA (MA)
Entity type:Individual
Prefix:MISS
First Name:EWELINA
Middle Name:DOROTA
Last Name:KRUPPIK
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6441 W WARNER AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60634-6225
Mailing Address - Country:US
Mailing Address - Phone:773-816-2005
Mailing Address - Fax:
Practice Address - Street 1:6441 W WARNER AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60634-6225
Practice Address - Country:US
Practice Address - Phone:773-816-2005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-27
Last Update Date:2014-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter