Individual
MR. DEXTER WARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1054 W HOLLYWOOD AVE, APT 3 WEST, CHICAGO, IL 60660-4591
(312) 804-1719
Mailing address
1054 W HOLLYWOOD AVE, APT 3 WEST, CHICAGO, IL 60660-4591
(312) 804-1719
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056033055
IL
Other
Enumeration date
02/26/2009
Last updated
02/26/2009
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