Individual
MICHELLE LEE SHRIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1957 W DICKENS AVE, CHICAGO, IL 60614-3934
(773) 698-6535
Mailing address
532 W ROSCOE ST, APT. 463, CHICAGO, IL 60657-3505
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056011038
IL
Other
Enumeration date
05/15/2015
Last updated
05/15/2015
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