Individual
ELIZABETH THOMETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
355 E ERIE ST, CHICAGO, IL 60611-3167
(312) 238-1000
Mailing address
850 S CLARK ST UNIT 517, CHICAGO, IL 60605-1763
(708) 908-0043
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.011832
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056.011832
DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
Enumeration date
09/05/2017
Last updated
09/05/2017
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