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1043703259
ELIZABETH MARY BANASZAK
CHICAGO, IL
NPI
1043703259
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146014348)
Enumeration Date
2018-06-12
Last Update Date
2021-03-22
Business Address
ELIZABETH MARY BANASZAK
675 N SAINT CLAIR ST STE 15-200
CHICAGO, IL 60611-5967
Phone number: 312-695-8182
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Mailing Address
ELIZABETH MARY BANASZAK
675 N SAINT CLAIR ST STE 15-200
CHICAGO, IL 60611-5967
Phone number: 312-695-8182
Copy
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