Individual
EWA PODSIADLO JANISZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
122 S MICHIGAN AVE, SUITE 1770, CHICAGO, IL 60603-6191
(312) 939-4121
(312) 939-4121
Mailing address
122 S MICHIGAN AVE, SUITE 1770, CHICAGO, IL 60603-6191
(312) 939-4121
(312) 939-4121
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160005307
IL
Other
Enumeration date
12/14/2009
Last updated
12/14/2009
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