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Organization
NORTH SHORE PEDIATRIC THERAPY
Active
Organization
NORTH SHORE PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH MICHAEL OTR/L (OCCUPATIONAL THERAPIST)
(847) 486-4140
Entity
Organization
Contact information
Practice address
1442 OLD SKOKIE RD, HIGHLAND PARK, IL 60035-3032
(847) 486-4140
Mailing address
1307 WAUKEGAN RD, GLENVIEW, IL 60025-3070
(847) 942-2187
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
07/20/2007
Last updated
07/30/2007
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