Individual
AGNES M CZERNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6323 W 64TH PL APT 3C, CHICAGO, IL 60638-5052
(708) 271-3072
Mailing address
6323 W 64TH PL APT 3C, CHICAGO, IL 60638-5052
(708) 271-3072
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056016471
IL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/08/2022
Last updated
06/30/2025
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