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1104090919
JENINE K TUBERGEN
CHICAGO, IL
NPI
1104090919
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056.006095)
Enumeration Date
2008-04-14
Last Update Date
2008-04-14
Business Address
-- JENINE K TUBERGEN OTR/L
345 E SUPERIOR ST
CHICAGO, IL 60611-2654
Phone number: 312-238-1228
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Mailing Address
-- JENINE K TUBERGEN OTR/L
1943 GREENWOOD AVE
WILMETTE, IL 60091-1437
Phone number:
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