Provider Demographics
NPI:1427433853
Name:SOBCZAK, LUCYNA (PT)
Entity type:Individual
Prefix:
First Name:LUCYNA
Middle Name:
Last Name:SOBCZAK
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5445 N SHERIDAN RD APT 1502
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-7462
Mailing Address - Country:US
Mailing Address - Phone:773-784-1451
Mailing Address - Fax:
Practice Address - Street 1:5445 N SHERIDAN RD
Practice Address - Street 2:APT 1502
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-1957
Practice Address - Country:US
Practice Address - Phone:177-378-4145
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-27
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070.007805225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist