Individual
BHAVNA SHUKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
856 W NELSON ST, APT # 1106, CHICAGO, IL 60657-5152
(773) 746-2463
Mailing address
856 W NELSON ST, # 1106, CHICAGO, IL 60657-5152
(773) 746-2463
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
IL
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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