Individual
MRS. MARY ELLEN DROBNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4505 STONEWALL AVE, DOWNERS GROVE, IL 60515-2650
(630) 852-3886
Mailing address
4505 STONEWALL AVE, DOWNERS GROVE, IL 60515-2650
(630) 852-3886
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
1254975
IL
Other
Enumeration date
03/08/2010
Last updated
03/08/2010
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