Individual
JENNIFER BRENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
733 S LA GRANGE RD, LA GRANGE, IL 60525-6726
(708) 945-4786
Mailing address
733 S LA GRANGE RD, LA GRANGE, IL 60525-6726
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
2277594
IL
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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