Individual
MRS. ALICIA DAWN PENNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18499 ZURICH LN, TINLEY PARK, IL 60477-4405
(312) 485-3000
(708) 429-7780
Mailing address
18499 ZURICH LN, TINLEY PARK, IL 60477-4405
(312) 485-3000
(708) 429-7780
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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