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1881662229
MARY C WISNIEWSKI
CHICAGO, IL
NPI
1881662229
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096-000287)
Enumeration Date
2006-03-10
Last Update Date
2007-07-08
Business Address
-- MARY C WISNIEWSKI ATC
5530 S ELLIS AVE
CHICAGO, IL 60637-1402
Phone number: 773-753-4708
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Mailing Address
-- MARY C WISNIEWSKI ATC
5457 S KENWOOD AVE
CHICAGO, IL 60615-5312
Phone number: 773-288-0612
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