Search › Illinois › 224Z00000X
Kourtney Chalke, COTA/L
NPI 1407399165 · on the registry since 2016 · sole proprietor
Practice
- Address
- 129 N Sycamore St
Centralia, IL 62801 - Phone
- (618) 335-4803
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-11-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois