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Individual

JEANNIE TSUI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT, OTR/L

Contact information

Practice address
2141 S TAN CT, CHICAGO, IL 60616-1998
(312) 791-0418
Mailing address
4153 W MELROSE ST APT 1W, CHICAGO, IL 60641-4679
(312) 714-8577

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056011214
IL
225XG0600X
Gerontology Occupational Therapist
225XM0800X
Mental Health Occupational Therapist
056011214
IL
225XP0200X
Pediatric Occupational Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
362984043001
IL
05
362984043912
IL
05
362984043922
IL
Enumeration date
11/23/2015
Last updated
02/07/2024
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