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Individual

MR. MACIEJ H NIEDOREZO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MFA

Contact information

Practice address
7659 GREENWOOD ST, MORTON GROVE, IL 60053-1836
(847) 909-8684
(847) 581-0212
Mailing address
7659 GREENWOOD ST, MORTON GROVE, IL 60053-1836
(847) 909-8684
(847) 581-0212

Taxonomy

Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary

Other

Enumeration date
04/21/2010
Last updated
04/21/2010
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