Individual
BIANKA SARA KSIAZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
5666 E STATE ST, ROCKFORD, IL 61108-2425
(815) 226-2000
Mailing address
418 S WILMETTE AVE, WESTMONT, IL 60559-2046
(630) 802-2006
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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