Individual
MS. JACQUELINE GRZYMALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOR/L
Contact information
Practice address
3712 N BROADWAY ST # 250, CHICAGO, IL 60613-4235
(312) 458-9865
Mailing address
3100 LEXINGTON LN APT 210, GLENVIEW, IL 60026-5936
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056011792
IL
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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