Individual
MS. RANDI MICHELLE GIDEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2900 N LAKE SHORE DR, CHICAGO, IL 60657-5640
(773) 665-3184
Mailing address
2900 N LAKE SHORE DR, CHICAGO, IL 60657-5640
(773) 665-3184
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056002476
IL
Other
Enumeration date
09/11/2012
Last updated
02/13/2025
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