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1073642328
STEPHANIE LYNN HALLQUIST
PLAINFIELD, IL
NPI
1073642328
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Former Name
STEPHANIE LYNN EBENER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056.007894)
Enumeration Date
2007-03-04
Last Update Date
2010-12-28
Business Address
-- STEPHANIE LYNN HALLQUIST OTR
23915 W MAIN ST SUITE C
PLAINFIELD, IL 60544-1967
Phone number: 815-577-8844
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Mailing Address
-- STEPHANIE LYNN HALLQUIST OTR
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number:
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