Individual
MRS. GINA FEGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10833 CARIBOU LN, ORLAND PARK, IL 60467-7825
(708) 460-4645
Mailing address
10833 CARIBOU LN, ORLAND PARK, IL 60467-7825
(708) 460-4645
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/18/2013
Last updated
04/18/2013
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