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1295961183
STACY ANTKOWIAK
CHICAGO, IL
NPI
1295961183
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146009719)
Enumeration Date
2009-06-05
Last Update Date
2009-06-05
Business Address
Ms. STACY ANTKOWIAK
2321 N LISTER AVE APARTMENT #3
CHICAGO, IL 60614-2913
Phone number: 815-228-6896
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Mailing Address
Ms. STACY ANTKOWIAK
2321 N LISTER AVE APARTMENT #3
CHICAGO, IL 60614-2913
Phone number: 815-228-6896
Copy
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