Individual
PAUL ALPERT C REGACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOT
Contact information
Practice address
1611 W HARRISON ST STE 300, CHICAGO, IL 60612-4861
(312) 432-2300
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-6200
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056012736
IL
225X00000X
Occupational Therapist
31006780A
IN
Other
Enumeration date
10/08/2018
Last updated
10/26/2018
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