Individual
ALICIA OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S
Contact information
Practice address
2145 W 95TH ST, CHICAGO, IL 60643-1018
(320) 267-4192
Mailing address
513 W DEMING PL APT 3N, CHICAGO, IL 60614-5945
(320) 267-4192
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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