Tkacz, Joanna
Tkacz, Joanna is an sole proprietor health care provider with primary practice located at 5304 S Melvina Ave , Chicago IL 60638-2618. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Tkacz, Joanna can be contacted via phone (773) 581-1698.Contact Information
Primary practice address
5304 S Melvina Ave
Chicago IL 60638-2618
Phone: (773) 581-1698
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | ACC/HEALTH--11/09/06 | Illinois |
| Other Service Providers / Contractor | 171W00000X | ACC/HEALTH | Illinois |
Profile Details
| NPI number | 1053585398 |
|---|---|
| LBN Legal business name | Tkacz, Joanna |
| Credentials | AGENT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2008 |
| Last updated | Apr 17th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053585398 | NPPES |
| Illinois | Other | 17 | OTHER SERVICE PROVIDERS |
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