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Individual

CHARLENE JOANNA FUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
16170 KINGSPORT RD, ORLAND PARK, IL 60467-5602
(708) 326-1550
(708) 326-1557
Mailing address
16170 KINGSPORT RD, ORLAND PARK, IL 60467-5602
(708) 326-1550
(708) 326-1557

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056008417
IL

Other

Enumeration date
03/25/2009
Last updated
03/28/2009
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