Individual
MANU M MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD
Contact information
Practice address
1200 N WESTMORELAND RD, LAKE FOREST, IL 60045-1601
(630) 933-1500
Mailing address
1200 N WESTMORELAND RD, LAKE FOREST, IL 60045-1601
(630) 933-1500
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.015225
IL
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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