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Individual

ALLEGRA ARIEL WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MOTR/L

Contact information

Practice address
8216 S CHAMPLAIN AVE, CHICAGO, IL 60619-5017
(773) 793-7663
Mailing address
8216 S CHAMPLAIN AVE, CHICAGO, IL 60619-5017
(773) 793-7663

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.008797
IL

Other

Enumeration date
10/11/2024
Last updated
10/11/2024
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