Individual
MRS. KYLIE DEKONING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, COTA/L
Contact information
Practice address
2850 OGDEN AVE, LISLE, IL 60532-2394
(331) 249-6200
Mailing address
722 CZACKI ST, LEMONT, IL 60439-4302
(815) 988-5273
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.004695
IL
Other
Enumeration date
09/26/2017
Last updated
01/10/2023
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