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1699390047
BETHUNA SHIELDS
CHICAGO, IL
NPI
1699390047
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XL0004X Occupational Therapist Low Vision
(Licence: IL 056008855)
Enumeration Date
2020-06-11
Last Update Date
2020-06-11
Business Address
MS. BETHUNA SHIELDS MS OTR/L
1401 SOUTH CALIFORNIA AVE
CHICAGO, IL 60608
Phone number: 773-522-2010
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Mailing Address
MS. BETHUNA SHIELDS MS OTR/L
850 DES PLAINES AVE APT 510
FOREST PARK, IL 60130-2069
Phone number: 630-418-0973
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