Individual
ALLA KEDZIERSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
712 W. GRAND AVE, CHICAGO, IL 60654
(872) 304-1600
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070028885
IL
Other
Enumeration date
02/10/2025
Last updated
02/11/2025
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