Individual
JESSICA GABLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
345 E SUPERIOR ST, CHICAGO, IL 60611-2654
(312) 236-1000
Mailing address
1665 CUNNINGHAM LN, CRYSTAL LAKE, IL 60014-1903
(815) 382-2155
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056011410
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
341582799
—
IL
Enumeration date
03/03/2016
Last updated
03/03/2016
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