Individual
MERRITT LEIGH WHITESIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1371 ABBOTT CT, BUFFALO GROVE, IL 60089-2367
(847) 777-8995
Mailing address
9791 ABERDEEN LN, HUNTLEY, IL 60142-2432
(224) 227-4677
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.016102
IL
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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