Individual
ELAINE GABRIELLE IWICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 W ROOSEVELT RD, WHEATON, IL 60187-5086
(847) 438-4222
Mailing address
61 S OLD RAND RD, LAKE ZURICH, IL 60047-3127
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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