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1053427831
VIOLETTA MICKIEWICZ
CHICAGO, IL
NPI
1053427831
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: IL 085002161)
Enumeration Date
2006-08-22
Last Update Date
2007-10-04
Business Address
-- VIOLETTA MICKIEWICZ PA-C
4501 N WINCHESTER AVE 3RD FLOOR
CHICAGO, IL 60640-5265
Phone number: 773-250-0500
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Mailing Address
-- VIOLETTA MICKIEWICZ PA-C
4501 WINCHESTER 3RD FLOOR
CHICAGO, IL 60640
Phone number: 773-250-0500
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