Individual
MARI GUIN RIESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
3703 W LAKE AVE, SUITE 200, GLENVIEW, IL 60026-5823
(847) 998-1188
Mailing address
4035 N MONTICELLO AVE, CHICAGO, IL 60618-2117
(773) 588-3066
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056001698
IL
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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