Individual
KARIANNE DEBORAH DVORAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9247 S MILLARD AVE, EVERGREEN PARK, IL 60805-1407
(708) 227-0615
Mailing address
9247 S MILLARD AVE, EVERGREEN PARK, IL 60805-1407
(708) 227-0615
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056013566
IL
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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