GERARD BALGOS SUSMENA

CHICAGO, IL
NPI1134362981
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IL  056.007.661)
Enumeration Date2009-04-09
Last Update Date2016-09-14
Business Address
Mr. GERARD BALGOS SUSMENA OTR/L
7434 NORTH HERMITAGE AVENUE #3B
CHICAGO, IL 60626-1639
Phone number: 847-951-0097
Mailing Address
Mr. GERARD BALGOS SUSMENA OTR/L
1326 W COLUMBIA AVE
CHICAGO, IL 60626-4326
Phone number: 773-490-6232
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