Individual
MS. GLORIA JEAN WHITLOCK ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21020 KOSTNER AVE, MATTESON, IL 60443-2068
(708) 747-1300
Mailing address
3008 139TH PL, BLUE ISLAND, IL 60406-3345
(708) 489-0469
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
057002512
IL
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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