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Individual

GRACE ANNE KUPCZYK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
17837 80TH AVE, TINLEY PARK, IL 60477-5023
(708) 342-2500
(708) 342-1454
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1980

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056016280
IL

Other

Enumeration date
10/31/2024
Last updated
11/06/2024
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