Individual
TAMMY LICATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 E CHICAGO AVE, SUITE 151, NAPERVILLE, IL 60540-5526
(630) 305-4196
Mailing address
234 WOOD GLEN LN, OAK BROOK, IL 60523-1535
(630) 993-0953
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/30/2008
Last updated
07/30/2008
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