Individual
MRS. MARY KATHLEEN JAVUREK LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DT/DTH
Contact information
Practice address
4598 MINNS DR, MACHESNEY PARK, IL 61115-1933
(815) 282-3738
Mailing address
4598 MINNS DR, MACHESNEY PARK, IL 61115-1933
(815) 505-9689
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
ML77010603P
IL
225C00000X
Rehabilitation Counselor
ML77010603P
IL
Other
Enumeration date
02/23/2007
Last updated
07/08/2025
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