Individual
AGNIESZKA R MAZURKIEWICZ KUBOWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4515 N MILWAUKEE AVE, CHICAGO, IL 60630-3711
(312) 671-4111
Mailing address
330 WISTERIA DR, STREAMWOOD, IL 60107-2213
(630) 441-0435
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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