Individual
ILENE TRUJILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1642 N 40TH AVE, STONE PARK, IL 60165-1112
(708) 244-4202
Mailing address
1642 N 40TH AVE, STONE PARK, IL 60165-1112
(708) 244-4202
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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