OrganizationActive
4619 N. Ravenswood Ave. Suite 204 Chicago, Il 60640
NPI 1992481246 · Occupational Therapy Assistant · Chicago, IL
Provider details
- NPI number
- 1992481246
- Entity type
- Organization
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Authorized official
- Maya E Horowitz, Occupational Therapy Assistant
Practice location
4619 N Ravenswood Ave Ste 204
Chicago, IL 60640-4579
Phone: (773) 697-7333
Mailing address
4619 N Ravenswood Ave Ste 204
Chicago, IL 60640-4579
Registry dates
- Enumerated
- 2023-06-22
- Last updated
- 2023-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.