Individual
MARIA FEDYNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 N OAKLEY BLVD APT 2W, CHICAGO, IL 60622-3528
(847) 722-3559
Mailing address
PO BOX 4832, BUFFALO GROVE, IL 60089-4832
(847) 722-3559
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
238000288
IL
363AS0400X
Surgical Physician Assistant
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Other
Enumeration date
12/19/2022
Last updated
05/15/2023
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