Tiana Shevon Kubik

NPI 1235454216 - Developmental Therapist - 222Q00000X

NPI Details
NPI 1235454216
Gender Female
Enumeration Date 04/01/2010
Last Updated 04/01/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
1346 W ESTES 1-S
CHICAGO IL, 60626-5475, US
Phone (847) 881-6775
Fax (248) 671-0487
Business Location
1346 W ESTES 1-S
CHICAGO IL, 60626-5475, US
Phone (847) 881-6775
Fax (248) 671-0487
Toxanomy
Taxonomy Code 222Q00000X
License State
License Number
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According to our database, Mrs. Tiana Shevon Kubik NPI is 1235454216, taxonomy code is 222Q00000X Tiana Shevon Kubik physically located at 1346 W Estes 1-s, Chicago IL, 60626-5475. NPI Number Tiana Shevon Kubik has the Individual type.

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1235454216 NPI number is provided on an as is basis without warranty of any kind. 1235454216 is maintained by the National Plan & Provider Enumeration System. The contents of Tiana Shevon Kubik are for informational purposes only.