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Individual

KAITLIN REPKO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
825 FOX TRAIL CT, LAKE FOREST, IL 60045-2659
(847) 909-4099
Mailing address
825 FOX TRAIL CT, LAKE FOREST, IL 60045-2659
(847) 909-4099

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Enumeration date
07/07/2017
Last updated
07/21/2022
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