Individual
MRS. JULIE ANN HAUGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
222 S RIVERSIDE PLZ, SUITE 830, CHICAGO, IL 60606-5808
(866) 386-0773
(312) 627-2700
Mailing address
519 N MARSHFIELD AVE, CHICAGO, IL 60622-6315
(312) 226-2364
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.001708
IL
Other
Enumeration date
03/29/2007
Last updated
01/27/2014
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