Individual
JENNIFER M SUKACZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3847 W. 95TH STREET, EVERGREEN PARK, IL 60805-0000
(708) 229-9828
(708) 422-0914
Mailing address
3847 W. 95TH STREET, EVERGREEN PARK, IL 60805-0000
(708) 229-9828
(708) 422-0914
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056009260
IL
Other
Enumeration date
06/01/2012
Last updated
06/01/2012
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