Individual
MRS. BETH ANN WILCZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
16051 S LA GRANGE RD, ORLAND PARK, IL 60467-5605
(708) 403-2001
Mailing address
3422 W MAPLE ST, EVERGREEN PARK, IL 60805-3043
(708) 424-1570
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.002667
IL
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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