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Organization

PEOPLEFIRST

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES ALAN BURZYNSKI M.S. CCC-SLP (SPEECH PATHOLOGIST)
(618) 384-8173
Entity
Organization

Contact information

Practice address
1457 COUNTY ROAD 800 E, CARMI, IL 62821-4835
(618) 384-8173
Mailing address
1457 COUNTY ROAD 800 E, CARMI, IL 62821-4835
(618) 384-8173

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
146.007108
IL

Other

Enumeration date
07/29/2008
Last updated
07/29/2008
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