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Individual

ANDRES J OLIVARES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
225 BRIGHTON LN, BOLINGBROOK, IL 60440-1663
(773) 397-7948
Mailing address
225 BRIGHTON LN, BOLINGBROOK, IL 60440-1663
(773) 397-7948

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056014186
IL

Other

Enumeration date
06/08/2021
Last updated
06/08/2021
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