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Jonathan Wiezorek, ATC
NPI 1326393190 · on the registry since 2012
Practice
- Address
- 611 Willows Ave
Chatham, IL 62629 - Phone
- (217) 415-5806
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-07-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois