Individual
BEVERLY GILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6551 S INGLESIDE AVE, CHICAGO, IL 60637-4253
(773) 331-0315
Mailing address
6551 S INGLESIDE AVE, CHICAGO, IL 60637-4253
(773) 331-0315
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
03/09/2018
Last updated
03/09/2018
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