Individual
DAVID ROBERT LENNIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.T.
Contact information
Practice address
2343 W HIRSCH ST, #3, CHICAGO, IL 60622
(708) 997-0833
Mailing address
2343 W HIRSCH ST, #3, CHICAGO, IL 60622
(708) 997-0833
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056011373
IL
Other
Enumeration date
02/17/2016
Last updated
02/17/2016
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