Individual
MADISON E HAUSHERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26568 N MAIN ST, WAUCONDA, IL 60084-3420
(847) 345-6318
Mailing address
26568 N MAIN ST, WAUCONDA, IL 60084-3420
(847) 345-6318
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056012815
IL
Other
Enumeration date
05/19/2019
Last updated
05/19/2019
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