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NPI Code Detail

MEDICARE: MS. MARY ELLEN PAPROCKI

MEDICARE:  MS. MARY ELLEN  PAPROCKI
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
1222Q00000XDevelopmental Therapist

General Provider Information

NPI Number : 1912298944
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARY ELLEN PAPROCKI
Provider Business Mailing Address
First Line : 1037 W WELLINGTON AVE
Second Line : #2
City : CHICAGO
State : IL
Zip : 60657-4377
Country : US
Telephone Number : 847-732-2868
Fax Number :
Provider Business Practice Location Address
First Line : 1037 W WELLINGTON AVE
Second Line : #2
City : CHICAGO
State : IL
Zip : 60657-4377
Country : US
Telephone Number : 847-732-2868
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2011
Last Update Date : 04/25/2011

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Directions to “ MS. MARY ELLEN PAPROCKI ” Practice Location

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