Individual
KIMBERLY CRESAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 N HOOKER ST, SUITE 301, CHICAGO, IL 60642-4549
(312) 943-3600
Mailing address
320 N EASTWOOD AVE, MOUNT PROSPECT, IL 60056-2419
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057003366
IL
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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