Individual
ELORA JOHANNSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
355 E ERIE ST, CHICAGO, IL 60611-3167
(312) 238-1000
Mailing address
352 DUNLEER DR, CARY, IL 60013-1578
(815) 347-2832
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.012610
IL
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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