Individual
MARIA ANNE DORCHACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7413 BROOKDALE DR APT 108, DARIEN, IL 60561-4269
(630) 660-2805
Mailing address
7413 BROOKDALE DR APT 108, DARIEN, IL 60561-4269
(630) 660-2805
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/28/2014
Last updated
07/28/2014
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