Individual
MRS. KRISTY CIKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12201 PRAIRIE ST, LEMONT, IL 60439-4556
(708) 595-7438
Mailing address
12201 PRAIRIE ST, LEMONT, IL 60439-4556
(708) 595-7438
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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