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Individual

MRS. MARYBETH ROSENTRETER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
11555 S HARLEM AVE, UNIT B, WORTH, IL 60482-2300
(708) 923-0462
Mailing address
11555 S HARLEM AVE, UNIT B, WORTH, IL 60482-2300
(708) 923-0462

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
227.006031
IL

Other

Enumeration date
09/04/2012
Last updated
04/30/2015
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