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1457792301
IKE BANG
CHICAGO, IL
NPI
1457792301
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056.009975)
Enumeration Date
2013-07-08
Last Update Date
2013-07-08
Business Address
-- IKE BANG OTR/L
345 E SUPERIOR ST
CHICAGO, IL 60611-2654
Phone number: 312-238-1000
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Mailing Address
-- IKE BANG OTR/L
3712 N BROADWAY ST # 598
CHICAGO, IL 60613-4235
Phone number:
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