Individual
RENEE M LESTAR -MALLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR L
Contact information
Practice address
1675 DEMPSTER ST, PARK RIDGE, IL 60068-1110
(847) 723-4532
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056.003689
IL
Other
Enumeration date
04/19/2007
Last updated
03/17/2025
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