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Individual

ALICE STEPHANIE JANISZEWSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
140 WINCHESTER DR UNIT B, STREAMWOOD, IL 60107-2426
(630) 456-2758
Mailing address
140 WINCHESTER DR UNIT B, STREAMWOOD, IL 60107-2426
(630) 456-2758

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085009286
IL

Other

Enumeration date
10/06/2022
Last updated
12/02/2022
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