Individual
CLARISSA MAE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
1186 W MAPLE AVE, MUNDELEIN, IL 60060-1438
(847) 970-7099
(847) 970-7719
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-6200
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Enumeration date
02/08/2023
Last updated
02/08/2023
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