Individual
JASMINE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8218 S CALIFORNIA AVE, CHICAGO, IL 60652-3406
(773) 943-1100
Mailing address
8218 S CALIFORNIA AVE, CHICAGO, IL 60652-3406
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056012759
IL
Other
Enumeration date
06/24/2019
Last updated
12/17/2020
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