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1699551523
ELLEN QI WANG
BUFFALO GROVE, IL
NPI
1699551523
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056015447)
Enumeration Date
2023-09-06
Last Update Date
2023-09-06
Business Address
ELLEN QI WANG OTR/L
180 W HALF DAY RD
BUFFALO GROVE, IL 60089-6552
Phone number: 847-478-8484
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Mailing Address
ELLEN QI WANG OTR/L
100 CHICAGO AVE APT 405
EVANSTON, IL 60202
Phone number: 240-566-2282
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