Individual
ANDERSON THOMURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, OTR/L
Contact information
Practice address
1813 W CUYLER AVE, CHICAGO, IL 60613-2401
(773) 951-4540
Mailing address
1813 W CUYLER AVE, CHICAGO, IL 60613-2401
(773) 951-4540
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056011631
IL
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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