CHARLES CHEVELL HURT

CHICAGO, IL
NPI1619597259
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies225X00000X Occupational Therapist
Enumeration Date2020-04-23
Last Update Date2020-04-23
Business Address
CHARLES CHEVELL HURT
1606 W WALLEN AVE APT 1
CHICAGO, IL 60626-6592
Phone number: 773-680-9695
Mailing Address
CHARLES CHEVELL HURT
1606 W WALLEN AVE APT 1
CHICAGO, IL 60626-6592
Phone number: 773-680-9695