Evolve Healthcare, LLC

NPI #1316588841 in Chicago, Illinois

Provider Information

NPI Number
1316588841
Entity Type
Organization
Organization Name
Evolve Healthcare, LLC
Primary Specialty
Occupational Therapist
Enumeration Date
Oct 7, 2019
Last Updated
Oct 7, 2019

Practice Location

Address
4535 N MARMORA AVE
ZIP Code
60630-3138
Phone
(312) 278-7138

Authorized Official

Name
MR. JESUS JOEL MANAGUELOD, OTR/L
Title
PRESIDENT
Phone
(312) 278-7138

Specialties & Taxonomy Codes

Specialty
Physical Therapist
Speech-Language Pathologist
Occupational Therapist

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