Individual
GIANNA CAPONERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11053 S MILLARD AVE, CHICAGO, IL 60655-3327
(773) 253-9856
Mailing address
505 W 44TH ST, CHICAGO, IL 60609-3549
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.012654
IL
Other
Enumeration date
10/02/2018
Last updated
10/03/2018
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