Individual
MRS. /MAUREEN ELIZABETH FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 OLYMPUS DR, TINLEY PARK, IL 60477-4827
(708) 614-7178
(708) 429-5868
Mailing address
3710 W NUALA LN, ALSIP, IL 60803-3651
(708) 385-2083
(708) 385-2083
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
10/18/2007
Last updated
10/18/2007
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