Individual
EVON MARIE MUCEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1052 BEDFORD DR, CAROL STREAM, IL 60188-3918
(630) 310-9778
Mailing address
1052 BEDFORD DR, CAROL STREAM, IL 60188-3918
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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