Individual
FRED GEIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
16170 KINGSPORT RD, ORLAND PARK, IL 60467-5602
(708) 349-6544
Mailing address
2242 SWANSON RD, PORTAGE, IN 46368-1505
(708) 349-6544
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
IL
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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