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1720314081
DANIEL OMAR DIAZ
GLENVIEW, IL
NPI
1720314081
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056.008786)
Enumeration Date
2009-10-21
Last Update Date
2009-10-21
Business Address
Mr. DANIEL OMAR DIAZ OTR/L
3703 W LAKE AVE 200
GLENVIEW, IL 60026-1223
Phone number: 847-998-1188
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Mailing Address
Mr. DANIEL OMAR DIAZ OTR/L
7753 VAN BUREN ST #317
FOREST PARK, IL 60130-1887
Phone number: 708-351-3409
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