Individual
GUIA STEPHANIE ALCALA PASCUAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1325 COMMUNITY MEMORIAL DR, LA GRANGE, IL 60525-2659
(708) 245-8900
Mailing address
1325 COMMUNITY MEMORIAL DR, LA GRANGE, IL 60525-2659
(708) 245-8900
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/18/2018
Last updated
06/18/2024
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