Individual
MRS. JUSTINE MARIE KACZMAREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2194 ASHBY LN, PLAINFIELD, IL 60586-5338
(815) 609-3395
Mailing address
2194 ASHBY LN, PLAINFIELD, IL 60586-5338
(815) 609-3395
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/27/2010
Last updated
04/27/2010
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