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SARAH JANE MACIOLEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-1782
Mailing address
1421 TARA BELLE PKWY, NAPERVILLE, IL 60564-8188
(815) 370-1860

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041347187
IL
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
209229271
IL

Other

Enumeration date
12/29/2011
Last updated
12/29/2011
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