Individual
KIMBERLY MATHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
908 W ARGYLE ST, CHICAGO, IL 60640-3806
(773) 271-0300
Mailing address
6144 W BYRON ST, CHICAGO, IL 60634-2545
(773) 330-9234
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056012949
IL
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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