Individual
DONNA RADOCHONSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9335 S MILLARD AVE, EVERGREEN PARK, IL 60805-1812
(708) 636-2258
(708) 636-3336
Mailing address
9335 S MILLARD AVE, EVERGREEN PARK, IL 60805-1812
(708) 636-2258
(708) 636-3336
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
07004332
IL
Other
Enumeration date
01/25/2010
Last updated
01/25/2010
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