JACEK WLADYSLAW MENDALA

MERRILLVILLE, IN
NPI1710107172
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05007301A)
Enumeration Date2007-04-26
Last Update Date2007-07-08
Business Address
Mr. JACEK WLADYSLAW MENDALA PT
1866 W 85TH AVE APT. J 275
MERRILLVILLE, IN 46410-8478
Phone number: 219-793-9902
Mailing Address
Mr. JACEK WLADYSLAW MENDALA PT
3110 N MILWAUKEE AVE APT.3F
CHICAGO, IL 60618-6622
Phone number: 121-979-3990
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