Individual
MRS. CHERYL ANN WOLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
17 FOX GLEN CIR, YORKVILLE, IL 60560-9589
(815) 585-2133
Mailing address
3608 CROCKETT CT, JOLIET, IL 60435-1574
(815) 585-2133
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043079759
IL
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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