Individual
MICHELLE MARY MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
648 N RIVER RD STE 102, NAPERVILLE, IL 60563-8968
(331) 247-7322
Mailing address
2533 OSAGE DR, GLENVIEW, IL 60026-1066
(847) 809-2671
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.013388
IL
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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