Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | IL |
NPI | 1003904046 |
---|---|
Provider Name | Nancy Biondo |
First Address | Oakbrook Terrace, IL 60181-4029 |
Second Address | Oakbrook Terrace, IL 60181-4029 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2006 |
Last Update Date | 08/07/2007 |