Individual
MRS. JENNIFER JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHS, OTR/L
Contact information
Practice address
5400 EAST AVE, COUNTRYSIDE, IL 60525-3112
(708) 352-3099
Mailing address
436 S SPRING AVE, LA GRANGE, IL 60525-2747
(773) 531-5058
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
056005671
IL
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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