Individual
MAYRA CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
255 38TH AVE, SAINT CHARLES, IL 60174-5411
(630) 509-8700
Mailing address
8201 CASS AVE, DARIEN, IL 60561-5314
(630) 590-5571
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056015888
IL
Other
Enumeration date
01/31/2024
Last updated
02/15/2024
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