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Individual

ASHLEY E PENKALA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
1820 W WEBSTER AVE STE 202, CHICAGO, IL 60614-4892
(847) 971-3771
Mailing address
5715 N ORIOLE AVE, CHICAGO, IL 60631-2267

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.012552
IL

Other

Enumeration date
09/14/2018
Last updated
09/14/2018
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