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Individual

MS. KAREN MARIE WINGFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
881 SPINNAKER DR, NEW LENOX, IL 60451-9224
(630) 212-1352
Mailing address
881 SPINNAKER DR, NEW LENOX, IL 60451-9224

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
10/08/2009
Last updated
10/08/2009
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