Individual
LAQUEISHIA S. CUMMINS-OMOSEBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1222 HICKORY RD, HOMEWOOD, IL 60430-2402
(773) 354-3878
Mailing address
1222 HICKORY RD, HOMEWOOD, IL 60430-2402
(773) 354-3878
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056013217
IL
Other
Enumeration date
09/11/2019
Last updated
10/30/2021
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