Individual
MIKAELA CONCES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12221 CASHLENAN LN, NEW LENOX, IL 60451-2799
(815) 715-8176
Mailing address
12221 CASHLENAN LN, NEW LENOX, IL 60451-2799
(815) 715-8176
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.016333
IL
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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