Individual
COLIN ANTHONY O'DONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5244 S NAGLE AVE, CHICAGO, IL 60638-1339
(773) 979-5244
Mailing address
5244 S NAGLE AVE, CHICAGO, IL 60638-1339
(773) 979-5244
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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