Individual
JENNA ELISE ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
1666 CHECKER RD, LONG GROVE, IL 60047-5289
(847) 419-1111
Mailing address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
(877) 787-3430
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.015620
IL
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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