Individual
SUSAN MARIE MACZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7125 JANES AVE, WOODRIDGE, IL 60517-2303
(630) 981-8000
Mailing address
7125 JANES AVE, WOODRIDGE, IL 60517-2303
(630) 981-8000
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
041-146210
IL
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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