Individual
KAILEEN HENDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 COVENTRY LN, CRYSTAL LAKE, IL 60014-7579
(815) 356-2700
Mailing address
425 ASBURY AVE, FOX RIVER GROVE, IL 60021-1812
(847) 338-3376
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056014004
IL
Other
Enumeration date
01/20/2023
Last updated
01/20/2023
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