Individual
LEADENE LOCONTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
222 S RIVERSIDE PLZ, CHICAGO, IL 60606-5808
(312) 416-3804
Mailing address
222 S RIVERSIDE PLZ, CHICAGO, IL 60606-5808
(312) 416-3804
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056001603
IL
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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