Individual
EVELYN GAMBOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
(312) 942-5344
(312) 942-4809
Mailing address
3118 S LAWNDALE AVE APT 2, CHICAGO, IL 60623-5005
(773) 655-9635
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056012018
IL
Other
Enumeration date
01/14/2026
Last updated
01/14/2026
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