Individual
ANGELA DANAHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10209 S KILBOURN AVE, OAK LAWN, IL 60453-4231
(312) 656-6537
Mailing address
10209 S KILBOURN AVE, OAK LAWN, IL 60453-4231
(312) 656-6537
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
2557572
IL
Other
Enumeration date
11/01/2013
Last updated
11/01/2013
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