Individual
POORVI D AJMERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1190 OLD MCHENRY RD, LONG GROVE, IL 60047-5088
(847) 713-1203
Mailing address
1353 MAIDSTONE DR, VERNON HILLS, IL 60061-1089
(412) 310-0760
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056016561
IL
Other
Enumeration date
11/27/2007
Last updated
09/29/2025
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