Individual
GINA CHRISTINE IZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
811 W EVERGREEN AVE STE 306, CHICAGO, IL 60642-3757
(312) 725-4090
Mailing address
3241 N BROADWAY ST APT 3, CHICAGO, IL 60657-3560
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/23/2013
Last updated
07/23/2013
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