| Jacek Miazek, | |
|
5848 N Mason Ave, Chicago, IL 60646-5408 | |
| (708) 539-1073 | |
| Not Available |
| Full Name | Jacek Miazek |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 5848 N Mason Ave, Chicago, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427662121 | NPI | - | NPPES |
| 227.009737 | Other | IL | PL2659711-BWI182175 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 227.009737 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jacek Miazek, 5848 N Mason Ave, Chicago, IL 60646-5408 Ph: (708) 539-1073 | Jacek Miazek, 5848 N Mason Ave, Chicago, IL 60646-5408 Ph: (708) 539-1073 |
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