ETHAN R ROBERTS

CHICAGO, IL
NPI1336879055
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IL  056014948)
Additional Taxonomies225X00000X Occupational Therapist
Enumeration Date2022-06-15
Last Update Date2022-07-18
Business Address
ETHAN R ROBERTS
1915 S ARCHER AVE
CHICAGO, IL 60616-1618
Phone number: 312-674-9132
Mailing Address
ETHAN R ROBERTS
2122 YORK RD STE 300
OAK BROOK, IL 60523-1925
Phone number: 630-575-6200