Individual
MR. LUIS ANTONIO CORTEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1366 W FULLERTON AVE, CHICAGO, IL 60614-2129
(773) 248-9300
Mailing address
1366 W FULLERTON AVE, CHICAGO, IL 60614-2129
(773) 248-9300
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.002715
IL
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
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