Individual
MRS. MAUREEN T ZUPAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1846 182ND ST, LANSING, IL 60438-1737
(708) 895-6817
Mailing address
1846 182ND ST, LANSING, IL 60438-1737
(708) 895-6817
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
057.003081
IL
Other
Enumeration date
07/19/2013
Last updated
07/19/2013
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