Individual
MR. ANGELINO HIDALGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
3205 CLINTON AVE, # 3W, BERWYN, IL 60402-2908
(773) 454-9732
Mailing address
3205 CLINTON AVE, # 3W, BERWYN, IL 60402-2908
(773) 454-9732
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056008431
IL
Other
Enumeration date
03/23/2011
Last updated
03/23/2011
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