Individual
CHRISTINE MARIE PELIKAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
323 RIDGE DR, DEKALB, IL 60115-1741
(815) 761-5826
Mailing address
323 RIDGE DR, DEKALB, IL 60115-1741
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222Q00000X
—
IL
Enumeration date
03/11/2019
Last updated
03/11/2019
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