Individual
BAN HAIDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 W PETERSON AVE, CHICAGO, IL 60659-3919
(224) 258-2570
Mailing address
2701 W PETERSON AVE, CHICAGO, IL 60659-3919
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-28722
IL
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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