EVAN LINES

CHICAGO, IL
NPI1265931562
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IL  056013025)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: IN  31006516A)
Enumeration Date2018-02-02
Last Update Date2023-09-12
Business Address
EVAN LINES OTR
1611 W HARRISON ST STE 107
CHICAGO, IL 60612-4861
Phone number: 877-632-6637
Mailing Address
EVAN LINES OTR
1611 W HARRISON ST STE 107
CHICAGO, IL 60612-4861
Phone number: 877-632-6637