Organization
JEN MATL DT THATS ME CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MARIE MATL (OWNER)
(708) 378-5984
Entity
Organization
Contact information
Practice address
3502 SUMAC DR, JOLIET, IL 60435-9018
(708) 378-5984
(708) 286-7028
Mailing address
3502 SUMAC DR, JOLIET, IL 60435-9018
(708) 378-5984
(708) 286-7028
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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