Individual
MS. ERIN MALINOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1197 S BUCHANAN ST, WILMINGTON, IL 60481-1616
(815) 476-5405
(815) 476-7361
Mailing address
453 W OTTO DR, NEW LENOX, IL 60451-3167
(815) 530-3906
(815) 476-7361
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
—
IL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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