Individual
RAYMOND PETER KEICHINGER II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
9300 W BALLARD RD, DES PLAINES, IL 60016-4904
(847) 294-2300
Mailing address
2619 N MOZART ST, CHICAGO, IL 60647-1739
(773) 414-4428
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
05/01/2020
Last updated
05/01/2020
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