Individual
MRS. MARY KREIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
812 HARRISON ST, OAK PARK, IL 60304-1101
(708) 524-2445
Mailing address
532 S GROVE AVE, OAK PARK, IL 60304-1119
(708) 386-4408
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056-001950
IL
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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