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Individual

JONATHAN EDWARD KLEDZIK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2906 HIGHWAY AVE, HIGHLAND, IN 46322-1631
(219) 513-8311
Mailing address
5248 W 121ST ST, ALSIP, IL 60803-3169
(708) 508-2642

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
IL

Other

Enumeration date
08/15/2022
Last updated
08/15/2022
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