Individual
LORI A DZIELAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1012 95TH ST, NAPERVILLE, IL 60564-5041
(630) 428-1503
(630) 428-1542
Mailing address
205 W WACKER DR, SUITE 1020, CHICAGO, IL 60606-1216
(312) 640-0329
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056005635
IL
Other
Enumeration date
05/15/2007
Last updated
12/02/2008
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