Individual
JULIAN MARIO ALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
100 EAST 91ST ST, CHICAGO, IL 60619
(773) 947-4322
Mailing address
100 EAST 91ST ST, CHICAGO, IL 60619
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056007742
IL
Other
Enumeration date
02/24/2011
Last updated
02/24/2011
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