Individual
ELIZABETH ANN KAJENCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RST
Contact information
Practice address
10326 N JULIET CT, PEORIA, IL 61615-1199
(309) 243-8500
(309) 243-8514
Mailing address
10326 N JULIET CT, PEORIA, IL 61615-1199
(309) 243-8500
(309) 243-8514
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
237.000053
IL
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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