Individual
MS. YOLANDA FLOR AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDS, M. ED.
Contact information
Practice address
1421 W 16TH ST, CHICAGO, IL 60608
(312) 208-0228
(312) 491-8431
Mailing address
1421 W 16TH ST, CHICAGO, IL 60608
(312) 208-0228
(312) 491-8431
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
YA87140801P
IL
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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