Individual
MRS. LISA CARYN O'HALLORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
219 N ILLINOIS ST, ELMHURST, IL 60126-2704
(630) 209-1650
(630) 597-4374
Mailing address
219 N ILLINOIS ST, ELMHURST, IL 60126-2704
(630) 209-1650
(630) 597-4374
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/20/2007
Last updated
03/25/2022
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