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Individual

MERYL SIMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1875 DEMPSTER ST, G10, PARK RIDGE, IL 60068-1186
(847) 723-7057
Mailing address
1875 DEMPSTER ST, G10, PARK RIDGE, IL 60068-1186
(847) 723-7057

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.003490
IL

Other

Enumeration date
09/14/2010
Last updated
09/14/2010
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