Individual
ALIZA MASHIACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
422 N NORTHWEST HWY STE 210, PARK RIDGE, IL 60068-3273
(847) 699-9757
Mailing address
3005 W CHASE AVE, CHICAGO, IL 60645-1123
(773) 614-0271
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.015566
IL
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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