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Individual

EVIE S VENTURA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5113 S HARPER AVE STE 2C, CHICAGO, IL 60615-4119
(833) 717-4244
Mailing address
9108 S CENTRAL PARK AVE, EVERGREEN PARK, IL 60805-1463
(312) 978-3526

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
IN

Other

Enumeration date
05/07/2024
Last updated
05/07/2024
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