Individual
JANE SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1010 N HOOKER ST, SUITE 301, CHICAGO, IL 60642-4549
(312) 943-3600
Mailing address
230 GRACE ST, BENSENVILLE, IL 60106-2510
(847) 867-0976
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057003342
IL
Other
Enumeration date
11/22/2011
Last updated
08/08/2016
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