Individual
ABBIGAIL SUZANNE BATTUELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1251 COLLEGE AVE, ALTON, IL 62002-6735
(618) 463-7300
Mailing address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
(847) 441-5593
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
003964
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B34001788897
OTHER
IL
Enumeration date
07/01/2021
Last updated
07/01/2021
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