Individual
MS. OMESTRIS DION ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
112 S HALSTED ST, CHICAGO HEIGHTS, IL 60411-1256
(708) 756-1700
Mailing address
22644 RIDGEWAY AVE, RICHTON PARK, IL 60471-2514
(773) 704-5671
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
056006219
IL
Other
Enumeration date
07/05/2011
Last updated
07/05/2011
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