Individual
JAMIE MAMMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
345 E SUPERIOR ST, CHICAGO, IL 60611-2654
(312) 238-1000
Mailing address
214 FAIRWAY CT, PROSPECT HEIGHTS, IL 60070-2622
(847) 809-9264
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.009010
IL
Other
Enumeration date
12/13/2010
Last updated
05/12/2020
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