Individual
ILIS ZAVALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7222 W CERMAK RD, #500, NORTH RIVERSIDE, IL 60546-1422
(708) 442-0023
Mailing address
7840 W NORTH AVE, 3G, ELMWOOD PARK, IL 60707-3514
(773) 332-7224
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.010788
IL
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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