Individual
PETER ALFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
650 N CONVENT ST, BOURBONNAIS, IL 60914-1320
(815) 523-7268
Mailing address
14121 GREEN VALLEY DR, ORLAND PARK, IL 60467-7493
(708) 691-1589
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7141157
—
IL
Enumeration date
03/06/2017
Last updated
04/08/2024
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