Individual
MAX CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD, OTR/L
Contact information
Practice address
700 N GREEN ST, CHICAGO, IL 60642-5996
(312) 392-1640
Mailing address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.013638
IL
Other
Enumeration date
05/26/2021
Last updated
01/21/2026
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