Organization
COMMUNITY OCCUPATIONAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL GEMBARA (OCCUPATIONAL THERAPIST)
(773) 710-3373
Entity
Organization
Contact information
Practice address
11025 MASON AVE, CHICAGO RIDGE, IL 60415-2237
(773) 710-3373
Mailing address
3000 S PULASKI RD, CHICAGO, IL 60623-4458
(773) 277-2400
(773) 277-2404
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
056006659
IL
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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