Individual
MIA ANTCZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 EISENHOWER LN STE 900, LISLE, IL 60532-2135
(630) 328-0118
Mailing address
2815 GABRIELLA ST, DOWNERS GROVE, IL 60515-3884
(630) 217-7107
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150114754
IL
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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