Individual
JEAN HELEN VONDRISKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
1624 S DESPLAINES ST, CHICAGO, IL 60616-1126
(312) 421-1557
Mailing address
1624 S DESPLAINES ST, CHICAGO, IL 60616-1126
(312) 421-1557
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/24/2009
Last updated
01/24/2009
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