Individual
JULIE MARIE CONRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1436 W RANDOLPH ST, 204, CHICAGO, IL 60607-1405
(312) 733-0883
(888) 733-1772
Mailing address
7230 W MYRTLE AVE, CHICAGO, IL 60631-1942
(773) 304-7789
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056010486
IL
Other
Enumeration date
03/15/2014
Last updated
03/15/2014
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