Individual
LAUREN DEWILDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 N FAIRWAY DR, VERNON HILLS, IL 60061-1861
(847) 996-6666
Mailing address
2767 MORAINE VALLEY RD, WAUCONDA, IL 60084-5006
(847) 710-3477
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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