IKE BANG

CHICAGO, IL
NPI1457792301
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IL  056.009975)
Enumeration Date2013-07-08
Last Update Date2013-07-08
Business Address
-- IKE BANG OTR/L
345 E SUPERIOR ST
CHICAGO, IL 60611-2654
Phone number: 312-238-1000
Mailing Address
-- IKE BANG OTR/L
3712 N BROADWAY ST # 598
CHICAGO, IL 60613-4235
Phone number:
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