Individual
KELLEY ELIZABETH BALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1308 WAUKEGAN RD, SUITE 103, GLENVIEW, IL 60025-3070
(847) 486-4140
Mailing address
1308 WAUKEGAN RD, SUITE 103, GLENVIEW, IL 60025-3070
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
12/18/2011
Last updated
05/07/2012
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