Individual
NANCY W DAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1010 N HOOKER ST STE 301, CHICAGO, IL 60642-4633
(312) 943-3600
Mailing address
35391 N EVERETT AVE, INGLESIDE, IL 60041-9168
(847) 587-9359
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.002752
IL
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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