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1962874917
STACI CHAN
OAK LAWN, IL
NPI
1962874917
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056.011256)
Enumeration Date
2015-10-28
Last Update Date
2015-10-28
Business Address
-- STACI CHAN OTR/L
4440 W 95TH ST
OAK LAWN, IL 60453-2600
Phone number: 708-684-5369
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Mailing Address
-- STACI CHAN OTR/L
4440 W 95TH ST
OAK LAWN, IL 60453-2600
Phone number:
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