Individual
JENNILYN BOQUIRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 SUNSET RIDGE ROAD, NORTHBROOK, IL 60062-0000
(224) 723-5108
Mailing address
931 BUCCANEER DR APT A, GLENVIEW, IL 60026-7063
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057004221
IL
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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