MAXINE DIANNA WILSON

CHICAGO RIDGE, IL
NPI1871801555
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057002692)
Enumeration Date2010-09-16
Last Update Date2010-09-16
Business Address
-- MAXINE DIANNA WILSON cota
10300 SOUTH WEST HIGHWAY LEXINGTON
CHICAGO RIDGE, IL 60615
Phone number: 708-945-3455
Mailing Address
-- MAXINE DIANNA WILSON cota
14508 S WESTERN AVE
POSEN, IL 60469-1331
Phone number: 708-945-3455
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