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Individual

KALI KUPKOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1467 N ELSTON AVE STE 103, CHICAGO, IL 60642-2449
(312) 943-3600
Mailing address
3708 W BRADLEY CT, MCHENRY, IL 60050-3962

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.005198
IL
224Z00000X
Occupational Therapy Assistant
IL

Other

Enumeration date
06/04/2019
Last updated
06/04/2019
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