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Individual

MRS. DENA MARIE KOLOSIEKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOTR/L

Contact information

Practice address
3703 W LAKE AVE STE 200, GLENVIEW, IL 60026-1266
(847) 998-1188
Mailing address
589 N INDIANA ST, ELMHURST, IL 60126-1956
(630) 279-5458

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.002508
IL

Other

Enumeration date
04/29/2008
Last updated
04/29/2008
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