Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 057004938 | IL |
NPI | 1023583432 |
---|---|
Provider Name | Agnieszka Kalinski |
First Address | Schaumburg, IL 60193-3709 |
Second Address | Arlington Heights, IL 60004-4602 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2018 |
Last Update Date | 11/10/2018 |