Individual
GRETCHEN C SHISSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
25 NORTH WINFIELD RD, WINFIELD, IL 60190
(630) 933-4442
Mailing address
22W378 TAMARACK DR, GLEN ELLYN, IL 60137-7410
(630) 217-5392
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.009601
IL
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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