Individual
ROMEO T VILLASENOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4018 N PARKSIDE AVE # 1, CHICAGO, IL 60634-1833
(773) 732-0049
Mailing address
4018 N PARKSIDE AVE # 1, CHICAGO, IL 60634-1833
(773) 732-0049
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057002328
IL
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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