Individual
MIA CHUDZIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5711 OAK RIDGE WAY, LISLE, IL 60532-0377
(630) 408-9605
Mailing address
5711 OAK RIDGE WAY, LISLE, IL 60532-0377
(630) 408-9605
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/29/2020
Last updated
05/29/2020
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