Individual
LEANNE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BACHELOR
Contact information
Practice address
6033 N SHERIDAN RD, #22E, CHICAGO, IL 60660-3003
(217) 416-5453
Mailing address
2935 N CLYBOURN AVE, #302, CHICAGO, IL 60618-8187
(217) 416-5453
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056009726
IL
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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