Most Relevant Information
Provider Data
| NPI Number: | 1003537903 |
| Provider Name: | MAXIMILIAN KRUCZEK |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/08/2022 |
| Last Updated: | 09/08/2022 |
Provider Practice Location
7101 N CICERO AVE STE 202
LINCOLNWOOD
IL
607122143
Practice Location Phone/Fax
| Phone: | 7734336210 |
| Fax: | 8667440950 |
Provider Mailing Location
7101 N CICERO AVE STE 202
LINCOLNWOOD
IL
607122143
Provider Mailing Phone/Fax
| Phone: | 7734336210 |
| Fax: | 8667440950 |