Individual
LILIANA MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7435 W TALCOTT AVE, CHICAGO, IL 60631-3707
(773) 990-5261
Mailing address
7435 W TALCOTT AVE, CHICAGO, IL 60631-3707
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/03/2015
Last updated
03/28/2022
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