Individual
ANDREA JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3048 N MILWAUKEE AVE, CHICAGO, IL 60618-6624
(312) 458-9865
Mailing address
400 S GREEN ST APT 210, CHICAGO, IL 60607-3546
(708) 826-0489
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056012681
IL
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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