Individual
MARA BLAUSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 W WRIGHTWOOD AVE, #4, CHICAGO, IL 60614-1250
(773) 234-2225
Mailing address
1201 W WRIGHTWOOD AVE, #4, CHICAGO, IL 60614-1250
(773) 234-2225
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/27/2012
Last updated
02/27/2012
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