Individual
BRITTNEY MARQUEE POWROZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6820 MADRONE DR, ROCKFORD, MI 49341-9578
(480) 313-6777
(855) 810-1930
Mailing address
4100 JUDD AVENUE, SCHILLER PARK, IL 60176-0001
(847) 471-0979
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
347703225
—
IL
Enumeration date
09/10/2019
Last updated
09/23/2019
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