Individual
JUSTINE DISTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD; OTR/L
Contact information
Practice address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
(312) 942-5000
Mailing address
1936 N MOHAWK ST APT 1, CHICAGO, IL 60614-5251
(616) 826-8245
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/12/2024
Last updated
01/14/2026
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