Individual
JILL DIANE FLANAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
14110 S SHOSHONI DR, HOMER GLEN, IL 60491-8908
(783) 334-6739
Mailing address
14110 S SHOSHONI DR, HOMER GLEN, IL 60491-8908
(708) 334-6739
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056008584
IL
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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