Individual
DREW POLACZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44 W ROOSEVELT RD, LOMBARD, IL 60148-4402
(855) 528-8476
Mailing address
1616 GROVE COURT, LOCKPORT, IL 60441-4799
(779) 875-1357
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-75575
IL
Other
Enumeration date
11/20/2023
Last updated
10/17/2024
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