Individual
MRS. MICHELLE CHURCHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
38550 N LEWIS AVE, BEACH PARK, IL 60099-3308
(847) 599-5519
Mailing address
11315 W WADSWORTH RD, BEACH PARK, IL 60099-3359
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
06/04/2012
Last updated
08/30/2019
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