Individual
CATALINA VIVIAN RUBILAR ULLOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
910 DIVISION ST, MELROSE PARK, IL 60160-2235
(708) 374-9171
Mailing address
923 N EAST AVE, OAK PARK, IL 60302-1329
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.004399
IL
Other
Enumeration date
08/30/2017
Last updated
08/30/2017
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