JESSE FOREST LANGILLE

CHICAGO, IL
NPI1003149725
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IL  056008865)
Additional Taxonomies225XH1200X Occupational Therapist, Hand
Enumeration Date2009-09-14
Last Update Date2014-04-09
Business Address
-- JESSE FOREST LANGILLE OT
1509 S MICHIGAN AVE
CHICAGO, IL 60605-2802
Phone number: 312-431-0434
Mailing Address
-- JESSE FOREST LANGILLE OT
205 W WACKER DR SUITE 1020
CHICAGO, IL 60606-1216
Phone number: 312-640-0329