Alyssa Illian

NPI #1457504623 in Northbrook, Illinois

Provider Information

NPI Number: 1457504623
Entity Type: Individual
Name: Alyssa Illian
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Oct 31, 2008
Last Updated: Oct 31, 2008

Practice Location

Address: 755 SKOKIE BLVD
City: Northbrook
State: Illinois
ZIP Code: 60062-2805
Phone: (312) 238-3814

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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