Individual
JINGFANG BALOGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3 VIGILANCE CT, BOLINGBROOK, IL 60440-1223
(773) 301-8937
(630) 863-7679
Mailing address
3 VIGILANCE CT, BOLINGBROOK, IL 60440-1223
(773) 301-8937
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Enumeration date
11/18/2019
Last updated
03/27/2024
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