Individual
DR. CASSIDY EVENEEN CORREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1539 W 19TH ST APT 1F, CHICAGO, IL 60608-3010
(562) 390-8915
Mailing address
1539 W 19TH ST APT 1F, CHICAGO, IL 60608-3010
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.016687
IL
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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