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1124848007
CAMERON BALOG
CHICAGO, IL
NPI
1124848007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056.016241)
Enumeration Date
2024-10-15
Last Update Date
2024-10-15
Business Address
CAMERON BALOG OTR
6700 S KEATING AVE
CHICAGO, IL 60629-5660
Phone number: 773-582-2888
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Mailing Address
CAMERON BALOG OTR
1101 S STATE ST APT 1100
CHICAGO, IL 60605-3185
Phone number: 219-308-4876
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