Individual
MRS. LISA ANN FESSETT O'LEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10513 S DRAKE AVE, CHICAGO, IL 60655-2503
(773) 445-3513
Mailing address
10513 S DRAKE AVE, CHICAGO, IL 60655-2503
(773) 445-3513
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
06/07/2013
Last updated
06/07/2013
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