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Individual

MR. CHARLES CUMMINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MOT, OTR/L

Contact information

Practice address
9375 W CHURCH ST, DES PLAINES, IL 60016-4271
(847) 824-5165
Mailing address
9375 W CHURCH ST, DES PLAINES, IL 60016-4271

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056009477
IL

Other

Enumeration date
09/16/2011
Last updated
05/06/2013
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