Individual
EVELINA KRISTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5256 W WINNEMAC AVE, CHICAGO, IL 60630-2218
(773) 414-2822
Mailing address
5256 W WINNEMAC AVE, CHICAGO, IL 60630-2218
(773) 414-2822
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.013898
IL
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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