Individual
AGNIESZKA CHARTYNOWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
680 N. LAKE SHORE DRIVE, SUITE 1424, CHICAGO, IL 60611
(312) 482-8484
(312) 482-9977
Mailing address
5826 LEE AVE, DOWNERS GROVE, IL 60516-1141
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085002551
IL
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
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