IndividualActive
Joanna Tkacz, AGENT
NPI 1053585398 · Contractor · Chicago, IL
Provider details
- NPI number
- 1053585398
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Credential
- AGENT
- Sex
- Female
- Sole proprietor
- Yes
- License
- ACC/HEALTH--11/09/06 (IL)
Specialties & taxonomies
Other Service Providers
Other Service Providers
Practice location
5304 S Melvina Ave
Chicago, IL 60638-2618
Phone: (773) 581-1698
Approximate (ZIP-level) locationGet directions
Mailing address
5304 S Melvina Ave
Chicago, IL 60638-2618
Registry dates
- Enumerated
- 2008-04-17
- Last updated
- 2008-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.