Organization
EASTER SEALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE TOMMASINO (DIRECTOR PEDIATRIC SERVICES)
(815) 725-2190
Entity
Organization
Contact information
Practice address
10039 CAMBRIDGE CT, MOKENA, IL 60448
(708) 261-3488
Mailing address
10039 CAMBRIDGE CT, MOKENA, IL 60448-7920
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
056008027
IL
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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