Individual
KACIE JANKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-8387
Mailing address
0N412 INDIAN KNOLL RD, WEST CHICAGO, IL 60185-3011
(708) 202-2321
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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