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Individual

LAUREN ANN GRONOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DROT, OTR/L

Contact information

Practice address
6751 W 63RD PL, CHICAGO, IL 60638-4829
(773) 535-2076
Mailing address
6751 W 63RD PL, CHICAGO, IL 60638-4829

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056008647
IL

Other

Enumeration date
03/17/2015
Last updated
03/11/2016
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