Individual
MRS. MAUD MAKONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR,SIPT-C
Contact information
Practice address
3082 CATON FARM RD, JOLIET, IL 60435-1455
(815) 577-9936
(815) 577-9938
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(866) 370-8206
(517) 435-3670
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056005850
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
692738322001
—
IL
Enumeration date
03/23/2007
Last updated
07/17/2023
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