Individual
ADAM VASCONCELLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1611 CHICAGO AVE, EVANSTON, IL 60201-6019
(877) 343-0506
Mailing address
4108 SOUTHWOODS RD, SPRINGFIELD, IL 62711-6071
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.016397
IL
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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