Individual
KIMBERLY ELLEN EBERHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
345 E SUPERIOR ST, CHICAGO, IL 60611-2654
(312) 238-1101
Mailing address
3530 N DAMEN AVE APT 1, CHICAGO, IL 60618-6108
(312) 498-9607
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056005897
IL
Other
Enumeration date
07/21/2008
Last updated
07/21/2008
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