Individual
MRS. PAMELA LYNN SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDS
Contact information
Practice address
1717 N NORMANDY AVE, CHICAGO, IL 60707-3925
(773) 836-0452
(773) 836-4529
Mailing address
1717 N NORMANDY AVE, CHICAGO, IL 60707-3925
(773) 836-0452
(773) 836-4529
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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