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Maxine Wilson, COTA

NPI 1871801555 · on the registry since 2010

Practice

Address
10300 South West Highway Lexington
Chicago Ridge, IL 60615
Phone
(708) 945-3455

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-09-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois