Individual
DERRICK M JANULIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
20201 CRAWFORD AVE, OLYMPIA FIELDS, IL 60461-1010
(708) 747-4000
Mailing address
801 S BRIGGS ST FL 2, JOLIET, IL 60433-9591
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057004739
IL
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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