Individual
JULIE STOCKING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1520 MAPLE AVE, NORTHBROOK, IL 60062-5475
(847) 400-7860
Mailing address
1520 MAPLE AVE, NORTHBROOK, IL 60062-5475
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056012940
IL
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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