Most Relevant Information
Provider Data
| NPI Number: | 1003486572 |
| Provider Name: | KATHERINE ELAINE PASICZNYUK |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/28/2021 |
| Last Updated: | 06/28/2021 |
Provider Practice Location
2630 W BRADLEY PL STE A
CHICAGO
IL
606184704
Practice Location Phone/Fax
| Phone: | 3129550089 |
| Fax: |
Provider Mailing Location
2630 W BRADLEY PL STE A
CHICAGO
IL
606184704
Provider Mailing Phone/Fax
| Phone: | 3129550098 |
| Fax: |