Individual
MACKENZIE JAEKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1135 WILKES LN, LAKE ZURICH, IL 60047-3308
(847) 571-7534
Mailing address
1135 WILKES LN, LAKE ZURICH, IL 60047-3308
(847) 571-7534
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056014416
IL
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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