Individual
KAREN GAY WENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
7222 W CERMAK RD STE 500, NORTH RIVERSIDE, IL 60546-1443
(708) 442-0023
Mailing address
130 HICKORY ST, FRANKFORT, IL 60423-1470
(708) 408-1192
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.004456
IL
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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