Individual
MS. ANGENETTE AYO ASAJU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
345 E SUPERIOR ST, CHICAGO, IL 60611-2654
(877) 974-6383
(877) 974-6384
Mailing address
9001 S RICHMOND AVE, EVERGREEN PARK, IL 60805-1345
(708) 422-2812
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.008406
IL
Other
Enumeration date
01/08/2011
Last updated
01/08/2011
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