Individual
AISLYNN GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
811 W EVERGREEN AVE, CHICAGO, IL 60642-2682
(312) 975-3928
Mailing address
811 W EVERGREEN AVE, CHICAGO, IL 60642-2682
(312) 975-3928
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056011233
IL
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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