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1336463835
KELLIE TENNILLE JUDE
CHICAGO, IL
NPI
1336463835
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056007647)
Enumeration Date
2010-03-26
Last Update Date
2010-03-26
Business Address
Ms. KELLIE TENNILLE JUDE OTR/L
345 E SUPERIOR ST
CHICAGO, IL 60611-2654
Phone number: 187-797-4638
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Mailing Address
Ms. KELLIE TENNILLE JUDE OTR/L
1106 W IOWA ST
GLENWOOD, IL 60425-1025
Phone number: 708-906-4172
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