Individual
JACEK OLEJNICZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
800 BIESTERFIELD RD, ELK GROVE VILLAGE, IL 60007-3311
(815) 463-0098
(815) 462-4955
Mailing address
PO BOX 369, NEW LENOX, IL 60451-0369
(815) 463-0098
(815) 462-4955
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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