Individual
HAMZA EZZENJE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2021 RANDI DR, AURORA, IL 60504-4758
(630) 851-7266
Mailing address
318 S 1ST ST APT 1, DEKALB, IL 60115-3267
(217) 721-1841
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.004633
IL
Other
Enumeration date
03/06/2020
Last updated
03/06/2020
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