Individual
ANDREW THOMAS RADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5046 N WINCHESTER AVE, APT 1, CHICAGO, IL 60640-2637
(773) 241-0929
Mailing address
5046 N WINCHESTER AVE, APT 1, CHICAGO, IL 60640-2637
(773) 241-0929
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056009947
IL
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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