Organization
SUPPLEMENTAL HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA HOFFMAN OTR/L (OCCUPATIONAL THERAPIST)
(312) 498-2637
Entity
Organization
Contact information
Practice address
222 S RIVERSIDE PLZ, SUITE 830, CHICAGO, IL 60606-5808
(866) 386-0773
Mailing address
4902 PINE CONE CT, APT 1, LOVES PARK, IL 61111-6215
(312) 498-2637
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
056.007520
IL
Other
Enumeration date
03/17/2010
Last updated
03/17/2010
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