Individual
MRS. KRISTIN RENEE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14539 W RATHFARN DR, HOMER GLEN, IL 60491-9405
(630) 243-1701
Mailing address
14539 W RATHFARN DR, HOMER GLEN, IL 60491-9405
(630) 243-1701
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/24/2014
Last updated
03/24/2014
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