Provider Demographics
NPI:1235942145
Name:BARYLISZYN, MAGDALENA
Entity type:Individual
Prefix:MRS
First Name:MAGDALENA
Middle Name:
Last Name:BARYLISZYN
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:MAGDALENA
Other - Middle Name:
Other - Last Name:BARYLISZYN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:417 S GIBBONS AVE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-6901
Mailing Address - Country:US
Mailing Address - Phone:773-865-6161
Mailing Address - Fax:
Practice Address - Street 1:417 S GIBBONS AVE
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-6901
Practice Address - Country:US
Practice Address - Phone:773-865-6161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist