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1124430921
MARY MATUSZAK
CHICAGO, IL
NPI
1124430921
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: IL 227.016717)
Enumeration Date
2014-05-28
Last Update Date
2014-05-28
Business Address
-- MARY MATUSZAK CMMP
6039 W 55TH ST
CHICAGO, IL 60638-2644
Phone number: 773-424-0032
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Mailing Address
-- MARY MATUSZAK CMMP
6039 W 55TH ST
CHICAGO, IL 60638-2644
Phone number: 708-362-0447
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