Individual
SHELBY SACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2833 N CLYBOURN AVE, CHICAGO, IL 60618-8470
(847) 604-0027
Mailing address
3822 N LINCOLN AVE # 2N, CHICAGO, IL 60613-3520
(816) 309-0413
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056.016067
IL
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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