Individual
LILLIANA JAUREGUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10338 S AVENUE L, CHICAGO, IL 60617-6037
(773) 374-3834
Mailing address
10338 S AVENUE L, CHICAGO, IL 60617-6037
(773) 374-3834
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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