MICHAEL J BALTHAZOR

SKOKIE, IL
NPI1386882793
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: IL  071-006684)
Enumeration Date2009-01-23
Last Update Date2009-01-23
Business Address
-- MICHAEL J BALTHAZOR Ph.D.
4711 GOLF RD SUITE 1100
SKOKIE, IL 60076-1224
Phone number: 847-933-9339
Mailing Address
-- MICHAEL J BALTHAZOR Ph.D.
4711 GOLF RD SUITE 1100
SKOKIE, IL 60076-1224
Phone number: 847-933-9339
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