Individual
JENNIFER POLLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6708 N OXFORD AVE, STE 2, CHICAGO, IL 60631-1327
(773) 459-2007
Mailing address
6708 N OXFORD AVE, STE 2, CHICAGO, IL 60631-1327
(773) 459-2007
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056009977
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056009977
LICENSE
IL
Enumeration date
12/08/2012
Last updated
12/08/2012
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