Individual
MRS. GINA ANNE TENGLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4980 N MARINE DR APT 235, CHICAGO, IL 60640-3930
(847) 845-6647
Mailing address
4980 N MARINE DR APT 235, CHICAGO, IL 60640-3930
(847) 845-6647
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/20/2011
Last updated
01/20/2011
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