Individual
MARY KIOLBASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
920 MILWAUKEE AVE, LINCOLNSHIRE, IL 60069-3839
(847) 383-2700
Mailing address
920 MILWAUKEE AVE STE 2300, LINCOLNSHIRE, IL 60069-3839
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.011885
IL
Other
Enumeration date
07/26/2017
Last updated
07/26/2017
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