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Individual

DAVID KATZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OT

Contact information

Practice address
951 W TOUHY AVE, PARK RIDGE, IL 60068-3230
(847) 292-0151
(847) 292-0291
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 296-2223

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056006068
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
IL6237016
MEDICARE
IL
01
IL6238016
MEDICARE
IL
01
IL6697008
MEDOCARE
IL
Enumeration date
04/28/2010
Last updated
03/14/2016
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