Individual
MRS. EMILIA PENNINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1107 W PARK AVE, LIBERTYVILLE, IL 60048-2552
(847) 254-1040
Mailing address
1107 W PARK AVE, LIBERTYVILLE, IL 60048-2552
(847) 254-1040
(847) 362-1043
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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