Individual
LISA M LODESKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
9649 W 55TH ST, COUNTRYSIDE, IL 60525-3699
(708) 352-3580
(708) 352-2715
Mailing address
9649 W 55TH ST, COUNTRYSIDE, IL 60525-3699
(708) 352-3580
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056013987
IL
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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