Individual
LAURA ELIZABETH JENNISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OT
Contact information
Practice address
825 CARILLON DR, BARTLETT, IL 60103-4581
(630) 372-1983
Mailing address
1600 BEVERLY CT, HANOVER PARK, IL 60133-5205
(773) 829-2060
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056013222
IL
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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