Individual
MEREDITH L PAYNE TROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2400 N SHEFFIELD AVE, CHICAGO, IL 60614-2215
(773) 281-7991
(773) 281-2590
Mailing address
2650 N SEMINARY AVE # 1, CHICAGO, IL 60614-1344
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056005783
IL
Other
Enumeration date
02/09/2007
Last updated
03/04/2010
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