Individual
JON PETER VERDONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1000 E BRIGHTON LN, CRYSTAL LAKE, IL 60012-2074
(815) 477-6400
Mailing address
1000 E BRIGHTON LN, CRYSTAL LAKE, IL 60012-2074
(815) 477-6400
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.007730
IL
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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