SUSAN MARIE BALTHAZOR

HAZEL CREST, IL
NPI1295900777
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IL  056002367)
Enumeration Date2008-04-25
Last Update Date2021-01-22
Business Address
SUSAN MARIE BALTHAZOR OTR
17800 KEDZIE AVE
HAZEL CREST, IL 60429-2029
Phone number: 708-213-3825
Mailing Address
SUSAN MARIE BALTHAZOR OTR
3703 W LAKE AVE SUITE 200
GLENVIEW, IL 60026-5823
Phone number: 847-998-1188