Individual
AGNIESZKA BARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4735 WILLOW SPRINGS RD, LA GRANGE, IL 60525-6130
(708) 352-6900
Mailing address
5139 S LECLAIRE AVE, CHICAGO, IL 60638-3029
(773) 732-4046
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.005655
IL
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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