Individual
LISA CIOSEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
750 KENILWORTH AVE, GLEN ELLYN, IL 60137-3806
(630) 790-1456
Mailing address
750 KENILWORTH AVE, GLEN ELLYN, IL 60137-3806
(630) 790-1456
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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