Individual
JOANNA EDYTA KONOPKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40W310 LAFOX RD, ST CHARLES, IL 60175-6588
(630) 444-0077
Mailing address
132 N LAMBERT RD, GLEN ELLYN, IL 60137-5631
(630) 858-1817
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
IL
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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