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Individual

MR. JAMES OLDENBURG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
3053 N LEAVITT ST, APT 2, CHICAGO, IL 60618-8113
(197) 040-2333
Mailing address
150 HARVESTER DR, BURR RIDGE, IL 60527-5919
(630) 246-5100

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.011183
IL

Other

Enumeration date
01/07/2016
Last updated
01/07/2016
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