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Individual

MARIA GEORGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1225 W LAKE ST, MELROSE PARK, IL 60160-4039
(708) 681-3000
Mailing address
1225 W LAKE ST, MELROSE PARK, IL 60160-4039
(708) 681-3000

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.009476
IL

Other

Enumeration date
04/09/2015
Last updated
04/09/2015
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