Individual
JACQUELYN RASCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1620 N LASALLE ST, CHICAGO, IL 60614-6005
(312) 943-3600
Mailing address
1620 N LASALLE ST, CHICAGO, IL 60614-6005
(312) 943-3600
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057002961
IL
Other
Enumeration date
10/30/2008
Last updated
10/30/2008
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