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Individual

MRS. JODI MROWIEC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
560 LAKELAND DR, LAKE BLUFF, IL 60044-2806
(847) 736-0305
Mailing address
560 LAKELAND DR, LAKE BLUFF, IL 60044-2806

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
10/10/2012
Last updated
10/10/2012
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