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1578072005
KATHERINE WIACEK
ST CHARLES, IL
NPI
1578072005
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Other Name
KAT WIACEK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.023077)
Enumeration Date
2017-09-27
Last Update Date
2017-09-27
Business Address
KATHERINE WIACEK PT, DPT
3815 E MAIN ST STE B
ST CHARLES, IL 60174-2488
Phone number: 630-584-7530
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Mailing Address
KATHERINE WIACEK PT, DPT
45 CAMBRIDGE DR
GRAYSLAKE, IL 60030-3448
Phone number:
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