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1689117764
SUSANA JIMENEZ
CHICAGO, IL
NPI
1689117764
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057004397)
Enumeration Date
2016-11-22
Last Update Date
2016-11-22
Business Address
-- SUSANA JIMENEZ
2649 E. 75TH ST
CHICAGO, IL 60649
Phone number: 773-356-9300
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Mailing Address
-- SUSANA JIMENEZ
2649 E 75TH ST
CHICAGO, IL 60649-3835
Phone number: 773-356-9300
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