Individual
DIANE BARBARA FEDAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
3903 INDIANAPOLIS BLVD, EAST CHICAGO, IN 46312-2555
(219) 398-7050
(219) 757-1950
Mailing address
1545 ROBERTS AVE, 2ND FL. REAR APT, WHITING, IN 46394-1121
(219) 473-1920
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/19/2007
Last updated
07/08/2007
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