Individual
KIM OPALACZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
17613 71ST AVE, TINLEY PARK, IL 60477-3817
(708) 532-4338
Mailing address
PO BOX 309, MONEE, IL 60449-0309
(708) 534-2168
(708) 534-2174
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
041211014
IL
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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