Individual
JESSICA MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5225 OLD ORCHARD RD, SUITE 18, SKOKIE, IL 60077-4405
(847) 663-1020
Mailing address
520 N HALSTED ST, UNIT 309, CHICAGO, IL 60622-7369
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
IL
Other
Enumeration date
12/19/2007
Last updated
12/19/2007
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