Individual
KATHERINE ANNE UDOVICIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
2415 W WINNEMAC AVE, CHICAGO, IL 60625-2613
(773) 306-3627
Mailing address
2415 W WINNEMAC AVE, CHICAGO, IL 60625-2613
(773) 306-3627
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/06/2010
Last updated
04/06/2010
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