Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Patryk Boduch, PTA

Individual provider Physical Therapy Assistant · NPI 1770381402

Patryk Boduch, PTA is a Physical Therapy Assistant in Elmwood Park, Illinois. Licensed in Illinois. Registered with an NPI since 2025.

Licensed in
IL
In the registry since
2025
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

7230 W North Ave Ste 212
Elmwood Park, IL 60707-4213
Phone: (708) 456-2322
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160.009081 (IL)

Record details

NPI number1770381402
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedMarch 6, 2025
Last updated in NPPESMarch 6, 2025
Certification dateMarch 6, 2025
Mailing address3018 Farrell Ave, Park Ridge, IL 60068-1142

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