Individual
ANASTASIA MARIA VITHOULKAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
18236 CLEAR CREEK XING, ORLAND PARK, IL 60467-5237
(708) 478-5596
(708) 478-6773
Mailing address
18236 CLEAR CREEK XING, ORLAND PARK, IL 60467-5237
(708) 478-5596
(708) 478-6773
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
AV42821006P
IL
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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