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Individual

JULIE KWASIBORSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
15 COMMERCE DR, SUITE 109, GRAYSLAKE, IL 60030-7807
(847) 548-3458
(847) 548-3459
Mailing address
15 COMMERCE DR, SUITE 109, GRAYSLAKE, IL 60030-7807
(847) 548-3458
(847) 548-3459

Taxonomy

Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
056-007-080
IL

Other

Enumeration date
02/02/2006
Last updated
07/08/2007
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