Individual
MRS. DEBBIE VANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8737 S KINGSTON AVE APT 1, CHICAGO, IL 60617-2348
(773) 630-1421
Mailing address
8737 S KINGSTON AVE APT 1, CHICAGO, IL 60617-2348
(773) 630-1421
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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