Individual
FRANCES ANN AQUINO LICUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 S FINLEY RD, LOMBARD, IL 60148-4830
(630) 495-4000
(630) 889-8453
Mailing address
226 TIGER ST, BOLINGBROOK, IL 60490-2053
(708) 822-2466
(630) 378-4839
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056007377
IL
Other
Enumeration date
02/02/2009
Last updated
02/02/2009
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