Individual
MS. LORRAINE PAULETTE RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MS
Contact information
Practice address
10443 S WHIPPLE ST, CHICAGO, IL 60655-2032
(773) 852-3682
Mailing address
10443 S WHIPPLE ST, CHICAGO, IL 60655-2032
(773) 852-3682
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
2024494
IL
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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