Individual
ALLISON PORSCHAKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
132 EDWARDS AVE, NORTHLAKE, IL 60164-2231
(708) 562-6153
Mailing address
132 EDWARDS AVE, NORTHLAKE, IL 60164-2231
(708) 562-6153
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.010584
IL
Other
Enumeration date
07/30/2015
Last updated
07/30/2015
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