Individual
MR. JEFFERY EUGENE PIETRZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1403 WOODFIELD DR, MAHOMET, IL 61853-3627
(217) 778-2265
Mailing address
1403 WOODFIELD DR, MAHOMET, IL 61853-3627
Taxonomy
Speciality
Code
Description
License number
State
2279G1100X
General Care Registered Respiratory Therapist
Primary
194-005258
IL
Other
Enumeration date
08/23/2009
Last updated
08/23/2009
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