Individual
MS. RONNA DEKOVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
8707 SKOKIE BLVD STE 402, SKOKIE, IL 60077-2269
(847) 877-5210
(847) 510-0430
Mailing address
1165 BRISTOL LN, BUFFALO GROVE, IL 60089-1265
(847) 977-9136
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056-000076
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1617235
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/20/2007
Last updated
05/11/2021
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