RANDALL THOMAS WESLEY

CHICAGO, IL
NPI1326332610
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IL  Applied For)
Enumeration Date2011-06-03
Last Update Date2011-06-03
Business Address
Mr. RANDALL THOMAS WESLEY
820 S DAMEN AVE
CHICAGO, IL 60612-3728
Phone number: 312-569-8387
Mailing Address
Mr. RANDALL THOMAS WESLEY
10409 S TROY ST
CHICAGO, IL 60655-2023
Phone number: 773-807-2015