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Individual

JILL M NORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3111 W RAWSON AVE, SUITE 215, FRANKLIN, WI 53132-9417
(414) 761-0727
Mailing address
24014 W RENWICK RD, STE F, PLAINFIELD, IL 60544-8708
(800) 974-4378
(630) 515-1536

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
687-026
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1700021763
WI
Enumeration date
12/04/2008
Last updated
05/06/2021
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