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Individual

KARL LARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5000 S 5TH AVE, BLDG 12, 3RD FLOOR, HINES, IL 60141-3030
(708) 202-5045
Mailing address
5000 S 5TH AVE, BLDG 12, 3RD FLOOR, HINES, IL 60141-3030

Taxonomy

Speciality
Code
Description
License number
State
225CA2400X
Assistive Technology Practitioner Rehabilitation Counselor
Primary

Other

Enumeration date
11/22/2024
Last updated
11/22/2024
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