Individual
MRS. JILL MARIE RAMIREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
121 E WOODLAWN RD, NEW LENOX, IL 60451-2265
(815) 485-5838
Mailing address
121 E WOODLAWN RD, NEW LENOX, IL 60451-2265
(815) 485-5838
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
096001063
IL
Other
Enumeration date
02/19/2007
Last updated
03/09/2017
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