Individual
IKE BANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
345 E SUPERIOR ST, CHICAGO, IL 60611-2654
(312) 238-1000
Mailing address
3712 N BROADWAY ST # 598, CHICAGO, IL 60613-4235
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.009975
IL
Other
Enumeration date
07/08/2013
Last updated
07/08/2013
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