Individual
BROOKLYN ROSE JAKSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2084 ROCKWELL RD, LA SALLE, IL 61301-9639
(630) 864-7441
Mailing address
2084 ROCKWELL RD, LA SALLE, IL 61301-9639
(630) 864-7441
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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