Individual
MICHELLE GUDAUSKAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
492 BLODGETT CT, NAPERVILLE, IL 60565-4330
(630) 991-1967
Mailing address
492 BLODGETT CT, NAPERVILLE, IL 60565-4330
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
G322-5527-7927
IL
Other
Enumeration date
07/12/2015
Last updated
07/12/2015
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