Individual
ABRIL LENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18317 CHICAGO AVE, LANSING, IL 60438-3013
(773) 344-7237
Mailing address
1622 SCHALLER LN, DYER, IN 46311-1646
(773) 344-7237
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007
EARLY INTERVENTION
IL
01
—
222Q00000X
EARLY INTERVENTION
IL
Enumeration date
10/15/2013
Last updated
07/11/2014
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