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Individual

CHALESE CHUDZINSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
4440 W 95TH STREET, OAK LAWN, IL 60453
(708) 261-1396
Mailing address
17435 JORDAN LANE, LOCKPORT, IL 60441

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.014385
IL

Other

Enumeration date
10/14/2010
Last updated
10/14/2010
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