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Individual

MICHAEL HAMILTON BARRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1847 W OHIO ST APT 1, CHICAGO, IL 60622-5506
(773) 454-8392
Mailing address
1847 W OHIO ST APT 1, CHICAGO, IL 60622-5506
(773) 454-8392

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056011224
IL

Other

Enumeration date
11/13/2015
Last updated
11/13/2015
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