Individual
LISA GOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR L
Contact information
Practice address
1259 N WOOD ST, 102, CHICAGO, IL 60622-3265
(773) 276-7876
(773) 276-4412
Mailing address
1259 N WOOD ST, 102, CHICAGO, IL 60622-3265
(773) 276-7876
(773) 276-4412
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
02/25/2007
Last updated
07/08/2007
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