Individual
LEONARD KOKALJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1525 E MAIN ST, STREATOR, IL 61364
(815) 672-4516
Mailing address
24328 S IROQUOIS DR, CHANNAHAN, IL 60410
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056004050
IL
Other
Enumeration date
04/27/2012
Last updated
04/27/2012
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