Individual
OLLIE H CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
287 CLARIDGE CIR, BOLINGBROOK, IL 60440-6184
(630) 759-6673
Mailing address
9956 S LAFAYETTE AVE, CHICAGO, IL 60628-1340
(773) 981-3761
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/26/2007
Last updated
07/08/2007
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