Individual
MRS. JACQUELINE MARIE SIWEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6944 W ARGYLE ST, CHICAGO, IL 60656-3635
(630) 484-4280
Mailing address
6944 W ARGYLE ST, CHICAGO, IL 60656-3635
(630) 484-4280
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IL
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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