Individual
EDITH M SIEMIANOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT(ASCP)
Contact information
Practice address
5000 S 5TH AVE, MICROBIOLOGY 113, HINES, IL 60141-3030
(708) 202-3792
Mailing address
5000 S 5TH AVE, MICROBIOLOGY 113, HINES, IL 60141-3030
(708) 202-3792
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
—
—
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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