Dr. Cezary S. Kedzierzawski
Massage Therapist in Chicago, IL. Individual provider (NPI-1).
NPI number1902575665
StatusActive
Last updated in NPPESSep 7, 2021
Details
- NPI
- 1902575665
- Entity type
- Individual (NPI-1)
- Name
- Dr. Cezary S. Kedzierzawski
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 7, 2021
- Certification date
- Sep 7, 2021
- Last updated
- Sep 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 227.008713 | IL | Yes |
Practice location
5736 W Belmont AveChicago, IL 60634-5208
Phone 773-895-5353
Mailing address
5736 W Belmont AveChicago, IL 60634-5208
Phone 773-895-5353
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