Individual
EMILY MOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
2739 N MILDRED AVE APT 3, CHICAGO, IL 60614-1459
(708) 227-5262
Mailing address
2739 N MILDRED AVE APT 3, CHICAGO, IL 60614-1459
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056013708
IL
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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