Individual
DANIEL CHONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
7370 W TALCOTT AVE, CHICAGO, IL 60631-3751
(773) 594-7400
Mailing address
2708 W BALMORAL AVE APT 2E, CHICAGO, IL 60625-3233
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056011320
IL
Other
Enumeration date
06/13/2020
Last updated
06/13/2020
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