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Individual

KRZYSZTOF P WODZIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA, PBT

Contact information

Practice address
5401 N MILWAUKEE AVE APT 1B, CHICAGO, IL 60630-1200
(773) 895-3589
Mailing address
5401 N MILWAUKEE AVE APT 1B, CHICAGO, IL 60630-1200
(773) 895-3589

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.006692
IL
246RP1900X
Phlebotomy Technician
34950-25299956
IL

Other

Enumeration date
01/12/2015
Last updated
01/12/2015
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