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Individual

KATHLEEN GRUZALSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3743 HIGHLAND AVE, STE 1003, DOWNERS GROVE, IL 60515-1594
(630) 964-6049
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-0018
(630) 469-9200

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036063014
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036063014
IL
Enumeration date
02/22/2006
Last updated
01/24/2011
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