STACI CHAN

OAK LAWN, IL
NPI1962874917
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IL  056.011256)
Enumeration Date2015-10-28
Last Update Date2015-10-28
Business Address
-- STACI CHAN OTR/L
4440 W 95TH ST
OAK LAWN, IL 60453-2600
Phone number: 708-684-5369
Mailing Address
-- STACI CHAN OTR/L
4440 W 95TH ST
OAK LAWN, IL 60453-2600
Phone number: