Individual
TANZIE CAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
287 CLARIDGE CIR, BOLINGBROOK, IL 60440-6184
(630) 759-6673
Mailing address
1330 WISCONSIN AVE, 1ST FLOOR, BERWYN, IL 60402-1253
(708) 494-0067
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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