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Organization

ALEGRIA HABILITATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LAURA CABADAS OT (OCCUPATIONAL THERAPIST)
(773) 456-7551
Entity
Organization

Contact information

Practice address
2801 S LAWNDALE AVE, CHICAGO, IL 60623-4547
(773) 456-7551
(773) 456-7551
Mailing address
2801 S LAWNDALE AVE, CHICAGO, IL 60623-4547
(773) 456-7551
(773) 456-7551

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056-006604
IL
235Z00000X
Speech-Language Pathologist
146006742
IL
235Z00000X
Speech-Language Pathologist
146007230
IL

Other

Enumeration date
02/28/2011
Last updated
03/01/2011
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