Individual
LENA RAMMOUNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4220 W 95TH ST STE 210, OAK LAWN, IL 60453-2793
(312) 949-4200
Mailing address
22212 DOXTATOR ST, DEARBORN, MI 48128-1411
(313) 333-5034
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
208000000X
Pediatrics Physician
Primary
125084183
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/29/2019
Last updated
06/11/2024
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