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Individual

IRENE DI MINERVINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DT

Contact information

Practice address
1208 ELM ST, PARK RIDGE, IL 60068-3368
(224) 592-5862
(888) 491-5663
Mailing address
1208 ELM ST, PARK RIDGE, IL 60068-3368
(224) 592-5862
(888) 491-5663

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
IP25370711P
IL

Other

Enumeration date
09/20/2011
Last updated
04/24/2018
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