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1760532790
KATARZYNA B IWANICKI
MOUNT PROSPECT, IL
NPI
1760532790
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Former Name
KATARZYNA SMIALEK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085-002648)
Enumeration Date
2007-01-11
Last Update Date
2021-09-03
Business Address
KATARZYNA B IWANICKI P.A.
250 W KENSINGTON RD STE 3B
MOUNT PROSPECT, IL 60056-1292
Phone number: 622-652-2887
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Mailing Address
KATARZYNA B IWANICKI P.A.
6127 GREEN BAY RD STE 100
KENOSHA, WI 53142-2941
Phone number: 262-652-2887
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