Individual
BRENDA KOVERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-5344
Mailing address
2700 N HAMPDEN CT, #18C, CHICAGO, IL 60614-1869
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
56001889
IL
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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