STEPHANIE LYNN HALLQUIST

PLAINFIELD, IL
NPI1073642328
Former NameSTEPHANIE LYNN EBENER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IL  056.007894)
Enumeration Date2007-03-04
Last Update Date2010-12-28
Business Address
-- STEPHANIE LYNN HALLQUIST OTR
23915 W MAIN ST SUITE C
PLAINFIELD, IL 60544-1967
Phone number: 815-577-8844
Mailing Address
-- STEPHANIE LYNN HALLQUIST OTR
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: