Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 070026149 | IL |
NPI | 1003584749 |
---|---|
Provider Name | Malgorzata Szaflarska |
First Address | Hickory Hills, IL 60457-2310 |
Second Address | Palos Hills, IL 60465-1971 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2021 |
Last Update Date | 30/08/2021 |