EVANGELENE EVANGELISTA

CHICAGO, IL
NPI1669343158
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057.006234)
Enumeration Date2025-09-16
Last Update Date2025-09-16
Business Address
-- EVANGELENE EVANGELISTA COTA/L
929 W FOSTER AVE
CHICAGO, IL 60640-1491
Phone number: 773-433-1800
Mailing Address
-- EVANGELENE EVANGELISTA COTA/L
5915 N CAMPBELL AVE APT 2
CHICAGO, IL 60659-5062
Phone number: