Individual
MRS. SHUKRIA JUDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
449 TALALA ST, PARK FOREST, IL 60466-2426
(773) 960-8403
Mailing address
449 TALALA ST, PARK FOREST, IL 60466-2426
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/08/2017
Last updated
07/08/2017
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