Individual
ROSE PITTELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10300 SOUTHWEST HWY, CHICAGO RIDGE, IL 60415-1426
(708) 425-1100
(708) 425-0209
Mailing address
11334 S CHAMPLAIN AVE, CHICAGO, IL 60628-5122
(773) 680-8745
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.000622
IL
Other
Enumeration date
03/31/2014
Last updated
03/31/2014
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