Organization
GEMBARA OCCUPATIONAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL GEMBARA (PRESIDENT)
(773) 710-3373
Entity
Organization
Contact information
Practice address
11025 MASON AVE, CHICAGO RIDGE, IL 60415-2237
(773) 710-3373
Mailing address
4425 W 63RD ST, CHICAGO, IL 60629-5560
(773) 710-3373
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
056006659
IL
Other
Enumeration date
04/13/2011
Last updated
04/13/2011
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