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Individual

NANCY B DOAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
355 RIDGE AVE, EVANSTON, IL 60202-3328
(847) 316-4000
Mailing address
1660 N HUDSON AVE APT 2J, CHICAGO, IL 60614-5664
(214) 500-8955

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056009848
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1206
BIRTHDAY
Enumeration date
11/07/2019
Last updated
11/07/2019
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