Individual
MS. JOYCE ANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL GCFP
Contact information
Practice address
1454 RIDGE RD, HIGHLAND PARK, IL 60035-2734
(847) 748-8313
(847) 831-1457
Mailing address
1454 RIDGE RD, HIGHLAND PARK, IL 60035-2734
(847) 748-8313
(847) 831-1457
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056 000220
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1625637
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/31/2006
Last updated
07/15/2010
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