Individual
BEATA NAKIELNA IX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6737 W 95TH ST, OAK LAWN, IL 60453-2112
(708) 741-5678
Mailing address
17W178 87TH ST, WILLOWBROOK, IL 60527-6036
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103034
—
IL
Enumeration date
06/17/2006
Last updated
07/08/2007
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