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Individual

DR. CONSTANCE AGNES PIETRZAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
17850 KEDZIE AVE STE 2100, HAZEL CREST, IL 60429-2056
(708) 957-4011
Mailing address
546 W CORNELIA AVE, APT 2E, CHICAGO, IL 60657-2751

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125053383
IL
207RG0100X
Gastroenterology Physician
Primary
036126021
IL

Other

Enumeration date
07/27/2008
Last updated
12/17/2021
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