Individual
MS. ARMENTHA L. CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
056.002718
Contact information
Practice address
336 LUELLA AVE, CALUMET CITY, IL 60409-1897
(312) 296-7478
(773) 373-7304
Mailing address
336 LUELLA AVE, CALUMET CITY, IL 60409-1897
(312) 296-7478
(773) 373-7304
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.002718
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164153301
APEX THERAPEUTIC SERVICES
IL
01
—
1164553301
ICG REHAB SERVICES, 1620 N. LASALLE, CHICAGO, ILLINOIS 60614
IL
Enumeration date
03/08/2007
Last updated
05/06/2012
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