Individual
KIM MACCHIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 OAKBROOK CENTER MALL STE 216, OAK BROOK, IL 60523-4713
(630) 571-5470
Mailing address
145 E QUINCY ST, RIVERSIDE, IL 60546-2175
(708) 785-5515
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
220.000051
IL
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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