Individual
MAGDALENA KANCZUGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8925 OTTAWA AVE, MORTON GROVE, IL 60053-1862
(847) 663-0563
Mailing address
8925 N. OTTAWA, MORTON GROVE, IL 60053-1862
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160-001681
IL
Other
Enumeration date
04/17/2015
Last updated
04/17/2015
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