Individual
SEAN WHALEN I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
66 MILLER DR STE 102, NORTH AURORA, IL 60542-5144
(630) 907-9165
Mailing address
7 N GREENWICH LN, GENEVA, IL 60134-1822
(630) 397-9823
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056.010567
IL
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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