Individual
AUBREE WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7531 N ROGERS AVE, APT 2, CHICAGO, IL 60626-1753
(312) 340-9764
Mailing address
7531 N ROGERS AVE, APT 2, CHICAGO, IL 60626-1753
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.003880
IL
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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