Individual
MARIA IANA BACZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1700
(847) 982-5282
Mailing address
4018 N CENTRAL PARK AVE APT 3S, CHICAGO, IL 60618-2136
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041429671
IL
Other
Enumeration date
03/07/2020
Last updated
03/07/2020
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