Individual
MICHELLE RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2272 95TH ST STE 300, NAPERVILLE, IL 60564-8952
(630) 428-1503
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(305) 751-9806
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056-002452
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056-002452
OT STATE LICENSE #
IL
Enumeration date
01/05/2007
Last updated
12/03/2018
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