Individual
KATHERINE C KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9000 WAUKEGAN RD, SUITE 100, MORTON GROVE, IL 60053-2127
(847) 779-6050
Mailing address
8930 WAUKEGAN RD, SUITE 200, MORTON GROVE, IL 60053-2126
(847) 324-3976
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056-007069
IL
Other
Enumeration date
04/26/2011
Last updated
04/26/2011
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