Individual
KERRIE BETH MONIUSZKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 W LAKE ST, HANOVER PARK, IL 60133-4302
(630) 556-2000
Mailing address
2000 W LAKE ST, HANOVER PARK, IL 60133-4302
(630) 556-2000
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.002321
IL
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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