Individual
MELISSA CATHERINE IWANICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
66 MILLER DR, NORTH AURORA, IL 60542-5143
(630) 907-9165
Mailing address
66 MILLER DR STE 102, NORTH AURORA, IL 60542-5144
(630) 907-9165
(630) 907-9195
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
070.011765
IL
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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