Most Relevant Information
Provider Data
| NPI Number: | 1003641242 |
| Provider Name: | JESSICA GRACE TATSUI |
| Entity Type: | Individual |
| Taxonomy Code: | 225XP0200X |
| Specialty: | Occupational Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/06/2024 |
| Last Updated: | 09/06/2024 |
Provider Practice Location
1945 W WILSON AVE
CHICAGO
IL
606405255
Practice Location Phone/Fax
| Phone: | 7737822773 |
| Fax: |
Provider Mailing Location
4026 DOBSON ST
SKOKIE
IL
600763721
Provider Mailing Phone/Fax
| Phone: | 3122080935 |
| Fax: |