Individual
MS. KIRSTIN PEAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COMS, DTO&M
Contact information
Practice address
2338 N HARDING AVE # 1, CHICAGO, IL 60647-2212
(630) 631-1750
Mailing address
2338 N HARDING AVE # 1, CHICAGO, IL 60647-2212
(630) 631-1750
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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