Individual
JASMINE FELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
473 W ARMY TRAIL RD STE 107, BLOOMINGDALE, IL 60108-2674
(224) 520-8562
Mailing address
426 BELLWOOD AVE, BELLWOOD, IL 60104-1412
(630) 667-5666
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056014452
IL
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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