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Individual

MS. CHARLENE BIELECKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP-BC

Contact information

Practice address
12251 S 80TH AVE, PALOS HEIGHTS, IL 60463-1256
(630) 257-1111
(630) 257-1115
Mailing address
12251 S 80TH AVE, MED STAFF OFFICE SUITE 1630, PALOS HEIGHTS, IL 60463-1256
(708) 923-5173
(708) 923-5018

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
041246820
IL
363LA2200X
Adult Health Nurse Practitioner
Primary
209.008359
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
F400285932
MEDICARE PTAN
IL
Enumeration date
10/19/2010
Last updated
02/05/2018
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