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Individual
VICTORIA GAZDACKA
Active
Individual
VICTORIA GAZDACKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.012446
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F400121928
MEDICARE PTAN
IL
Enumeration date
05/27/2013
Last updated
11/08/2023
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