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Individual

MS. JACLYN KRIZEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5006 MAIN ST, DOWNERS GROVE, IL 60515-3643
(630) 442-0167
Mailing address
1244 GRANT ST, DOWNERS GROVE, IL 60515-2717
(630) 202-5783

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198001375
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
198001375
IDFPR
IL
Enumeration date
09/10/2020
Last updated
09/10/2020
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