Individual
HIDAIA OMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12021 S HARLEM AVE, PALOS HEIGHTS, IL 60463-1139
(708) 586-2604
Mailing address
124 KRAML DR, BURR RIDGE, IL 60527-0303
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
225XM0800X
Mental Health Occupational Therapist
Primary
056012828
IL
Other
Enumeration date
05/20/2019
Last updated
07/29/2019
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