Individual
RAILI CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
975 E NERGE RD, SUITE N-140, ROSELLE, IL 60172-4804
(874) 437-9889
Mailing address
3053 S THROOP ST, CHICAGO, IL 60608-5812
(773) 557-9670
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.009543
IL
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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