Individual
MARY L HERBIN-HORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4801 W PETERSON AVE, SUITE 213, CHICAGO, IL 60646-5713
(773) 777-4947
Mailing address
8930 WAUKEGAN RD, SUITE 200, MORTON GROVE, IL 60053-2126
(847) 324-3976
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056-000805
IL
Other
Enumeration date
08/22/2008
Last updated
08/22/2008
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