Individual
LILY TAGGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
1969 W OGDEN AVE, CHICAGO, IL 60612-3773
(312) 864-6000
Mailing address
520 W WELLINGTON AVE APT 3C, CHICAGO, IL 60657-6798
(317) 519-5228
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056014415
IL
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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