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1902488901
MARY BANNON
DES PLAINES, IL
NPI
1902488901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056-013999)
Enumeration Date
2021-04-28
Last Update Date
2021-04-28
Business Address
MARY BANNON OTR/L
900 RAND RD STE 110
DES PLAINES, IL 60016-2359
Phone number: 847-954-7646
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Mailing Address
MARY BANNON OTR/L
900 RAND RD STE 300
DES PLAINES, IL 60016-2359
Phone number: 847-324-3976
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