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Individual

AVERY MARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
939 W WILSON AVE, CHICAGO, IL 60640-5706
(773) 244-0700
Mailing address
939 W WILSON AVE, CHICAGO, IL 60640-5706

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
225XP0200X
Pediatric Occupational Therapist
056.016671
IL

Other

Enumeration date
09/01/2025
Last updated
09/23/2025
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