Individual
MARY O'BOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
3130 CHATHAM RD STE A, SPRINGFIELD, IL 62704-5379
(815) 725-9992
(847) 348-3706
Mailing address
5 REVERE DR STE 120, NORTHBROOK, IL 60062-8005
(815) 725-9992
(847) 348-3706
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.013769
IL
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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