Individual
MARCYANNA LOVIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10300 SOUTHWEST HWY, CHICAGO RIDGE, IL 60415-1426
(798) 425-1100
Mailing address
10300 SOUTHWEST HWY, CHICAGO RIDGE, IL 60415-1426
(798) 425-1100
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.003327
IL
Other
Enumeration date
04/01/2014
Last updated
04/01/2014
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