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NPI Code Detail

MEDICARE: KATHRYN ELIZABETH DABKOWSKI

MEDICARE:   KATHRYN ELIZABETH DABKOWSKI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist146.014077IL

General Provider Information

NPI Number : 1467908269
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN ELIZABETH DABKOWSKI
Provider Business Mailing Address
First Line : 2043 W BELMONT AVE STE 1
Second Line :
City : CHICAGO
State : IL
Zip : 60618-6796
Country : US
Telephone Number : 773-332-9439
Fax Number : 773-348-2073
Provider Business Practice Location Address
First Line : 2043 W BELMONT AVE STE 1
Second Line :
City : CHICAGO
State : IL
Zip : 60618-6796
Country : US
Telephone Number : 773-332-9439
Fax Number : 773-348-2073
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2016
Last Update Date : 01/23/2018

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Directions to “ KATHRYN ELIZABETH DABKOWSKI ” Practice Location

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