Individual
MARY IRENE LAUINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22W546 SYCAMORE DR, GLEN ELLYN, IL 60137-7432
(708) 987-2225
Mailing address
22W546 SYCAMORE DR, GLEN ELLYN, IL 60137-7432
(708) 987-2225
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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