Provider Demographics
NPI:1457829467
Name:FLORIANOWICZ, IWONA STANISLAWA (BSC, MSC)
Entity Type:Individual
Prefix:
First Name:IWONA
Middle Name:STANISLAWA
Last Name:FLORIANOWICZ
Suffix:
Gender:F
Credentials:BSC, MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 HATLEN AVE
Mailing Address - Street 2:
Mailing Address - City:MT PROSPECT
Mailing Address - State:IL
Mailing Address - Zip Code:60056-2829
Mailing Address - Country:US
Mailing Address - Phone:224-318-7630
Mailing Address - Fax:
Practice Address - Street 1:25 E WASHINGTON ST STE 1202
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-1868
Practice Address - Country:US
Practice Address - Phone:321-767-2057
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-07
Last Update Date:2018-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional