Individual
MARY HERZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
424 N RAND RD, NORTH BARRINGTON, IL 60010-1496
(847) 756-2680
(847) 756-2682
Mailing address
424 N RAND RD, NORTH BARRINGTON, IL 60010-1496
(847) 756-2680
(847) 756-2682
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056013500
IL
Other
Enumeration date
03/05/2020
Last updated
06/03/2020
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