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Individual

MISS ANNA KOROLCZUK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
800 W 5TH AVE STE 102A, NAPERVILLE, IL 60563-4929
(630) 639-1655
Mailing address
800 W 5TH AVE STE 102A, NAPERVILLE, IL 60563-4929
(630) 639-1655

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
10/04/2011
Last updated
09/04/2012
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