Individual
SANDY E IED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBA
Contact information
Practice address
16W434 HONEYSUCKLE ROSE LN APT 116, WILLOWBROOK, IL 60527-6755
(708) 733-9092
Mailing address
16W434 HONEYSUCKLE ROSE LN APT 116, WILLOWBROOK, IL 60527-6755
(708) 733-9092
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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