Individual
NICOLE UMA MOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
1644 E 53RD ST, CHICAGO, IL 60615-4489
(773) 241-6450
(773) 241-6501
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1980
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.016280
IL
Other
Enumeration date
11/04/2024
Last updated
11/07/2024
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