Individual
MICHELLE LYNN MARTIN SHAEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1447 W MONTROSE AVE, CHICAGO, IL 60613-1348
(773) 944-0864
Mailing address
2822 W CHICAGO AVE APT 4E, CHICAGO, IL 60622-8346
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.012198
IL
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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