Individual
ALYSHA KOLLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5420 W 88TH ST, OAK LAWN, IL 60453-1255
(630) 670-2373
Mailing address
5420 W 88TH ST, OAK LAWN, IL 60453-1255
(630) 670-2373
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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