Individual
LORI SPIELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
306 SHAWNEE DR, MINOOKA, IL 60447-8764
(708) 204-9755
Mailing address
306 SHAWNEE DR, MINOOKA, IL 60447-8764
(708) 204-9755
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
IL
Other
Enumeration date
06/24/2016
Last updated
06/24/2016
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