Individual
JACQUELINE TOLENTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4412 N OAK PARK AVE, HARWOOD HEIGHTS, IL 60706-4836
(773) 793-4846
Mailing address
4557 N NARRAGANSETT AVE, CHICAGO, IL 60630-3029
(773) 629-3323
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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