Individual
ELIZABETH R KONIECZNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2954 W 101ST PL, EVERGREEN PARK, IL 60805-3541
(847) 306-9843
Mailing address
2954 W 101ST PL, EVERGREEN PARK, IL 60805-3541
(847) 306-9843
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/05/2019
Last updated
05/05/2019
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