Individual
MS. GRAZYNA WISNIOWSKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.P.C.,C.A.D.C.
Contact information
Practice address
5420 N MILWAUKEE AVE, CHICAGO, IL 60630-1225
(708) 250-2468
Mailing address
930 MAPLETON AVE, OAK PARK, IL 60302-1404
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635112
BC/BS
IL
Enumeration date
03/31/2008
Last updated
03/31/2008
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