Individual
ADINA GONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
940 E OLD WILLOW RD APT 305, PROSPECT HEIGHTS, IL 60070-2421
(347) 702-2888
Mailing address
940 E OLD WILLOW RD APT 305, PROSPECT HEIGHTS, IL 60070-2421
(347) 702-2888
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
010099
NY
224Z00000X
Occupational Therapy Assistant
057.005748
IL
225X00000X
Occupational Therapist
028812
NY
225X00000X
Occupational Therapist
Primary
056.015879
IL
Other
Enumeration date
10/08/2019
Last updated
04/03/2026
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