Individual
PHOEBEE LEROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4425 W 95TH ST, OAK LAWN, IL 60453-7221
(708) 422-4441
Mailing address
4425 W 95TH ST, OAK LAWN, IL 60453-7221
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056007389
IL
Other
Enumeration date
08/06/2008
Last updated
08/06/2008
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