Individual
KATHERINE DZIEDZIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
6500 HALSEY DR, WOODRIDGE, IL 60517-1341
(630) 217-2081
Mailing address
6500 HALSEY DR, WOODRIDGE, IL 60517-1341
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.003400
IL
Other
Enumeration date
11/19/2014
Last updated
11/19/2014
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