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1952153058
FARAZ ALI MIRZA
CHICAGO, IL
NPI
1952153058
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056.015912)
Enumeration Date
2024-04-02
Last Update Date
2024-10-22
Business Address
FARAZ ALI MIRZA MS, OTR/L
3233 W ADDISON ST
CHICAGO, IL 60618-4328
Phone number: 773-478-0496
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Mailing Address
FARAZ ALI MIRZA MS, OTR/L
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 866-370-8206
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