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1639240104
JANESE LONDON PETUCHOWSKI
CHICAGO, IL
NPI
1639240104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056.007663)
Enumeration Date
2006-11-13
Last Update Date
2007-07-08
Business Address
Mrs. JANESE LONDON PETUCHOWSKI OT
2300 N CHILDRENS PLZ #142
CHICAGO, IL 60614-3363
Phone number: 773-327-2821
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Mailing Address
Mrs. JANESE LONDON PETUCHOWSKI OT
339 W BARRY AVE UNIT 25-C
CHICAGO, IL 60657-5653
Phone number: 773-327-2821
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