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Organization

LE PETITE FOXES PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAURA MARIE CREMONESI MOT, ORT/L (OCCUPATIONAL THERAPIST/OWNER)
(312) 380-1422
Entity
Organization

Contact information

Practice address
1550 S INDIANA AVE STE 102, CHICAGO, IL 60605-4835
(312) 380-1422
Mailing address
1550 S INDIANA AVE STE 102, CHICAGO, IL 60605-4835

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1659759660
IL
Enumeration date
01/22/2021
Last updated
01/22/2021
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