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1386882793
MICHAEL J BALTHAZOR
SKOKIE, IL
NPI
1386882793
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071-006684)
Enumeration Date
2009-01-23
Last Update Date
2009-01-23
Business Address
-- MICHAEL J BALTHAZOR Ph.D.
4711 GOLF RD SUITE 1100
SKOKIE, IL 60076-1224
Phone number: 847-933-9339
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Mailing Address
-- MICHAEL J BALTHAZOR Ph.D.
4711 GOLF RD SUITE 1100
SKOKIE, IL 60076-1224
Phone number: 847-933-9339
Copy
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