Individual
MR. ANDREW STODOLKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 E JEFFERSON ST, MACOMB, IL 61455-2312
(309) 833-2191
(309) 836-2118
Mailing address
2960 CHARTRES ST, P.O. BOX 1488, LA SALLE, IL 61301-1097
(815) 224-1610
(815) 223-1634
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/08/2012
Last updated
05/08/2012
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