Individual
JEANINE MARIE PANICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
3712 N NEWCASTLE AVE, CHICAGO, IL 60634-2350
(773) 732-3899
Mailing address
3712 N NEWCASTLE AVE, CHICAGO, IL 60634-2350
(773) 732-3899
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056008133
IL
Other
Enumeration date
11/27/2007
Last updated
01/07/2023
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