Provider Demographics
NPI:1891427431
Name:HRABIA, ALICJA ELZBIETA
Entity Type:Individual
Prefix:
First Name:ALICJA
Middle Name:ELZBIETA
Last Name:HRABIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1795 PROSPECT CIR
Mailing Address - Street 2:
Mailing Address - City:PINGREE GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60140-2067
Mailing Address - Country:US
Mailing Address - Phone:224-400-1412
Mailing Address - Fax:
Practice Address - Street 1:1795 PROSPECT CIR
Practice Address - Street 2:
Practice Address - City:PINGREE GROVE
Practice Address - State:IL
Practice Address - Zip Code:60140-2067
Practice Address - Country:US
Practice Address - Phone:224-400-1412
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-30
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist