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Individual

CHIWANA HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11401 S OAKLEY AVE, CHICAGO, IL 60643-4196
(773) 233-6311
Mailing address
842 DORSETSHIRE DR, CRETE, IL 60417-1042
(309) 323-3193

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.002279
IL

Other

Enumeration date
09/06/2023
Last updated
09/06/2023
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