Individual
ALESSANDRA ALTOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
484 W BOUGHTON RD STE C, BOLINGBROOK, IL 60440-2478
(312) 858-8562
Mailing address
1102 CHIPPEWA ST, NORMAL, IL 61761-5760
(224) 587-0552
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-63261
IL
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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