Individual
DANA MIKOLAJCZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 SILVER CROSS BLVD, NEW LENOX, IL 60451-9509
(815) 300-7050
Mailing address
18640 S CORNFLOWER CT, MOKENA, IL 60448-8667
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.029904
IL
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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