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Individual

MARY CLAIRE SCHAFER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-5371
Mailing address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056007491
IL

Other

Enumeration date
06/04/2012
Last updated
06/04/2012
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