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Individual

JUANITA P HUGHES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
6210 S VERNON AVE, CHICAGO, IL 60637-2320
(773) 491-7496
Mailing address
6210 S VERNON AVE, CHICAGO, IL 60637-2320
(773) 491-7496

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056013280
IL

Other

Enumeration date
12/29/2019
Last updated
12/29/2019
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