Individual
GLORIA Y MEJIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4124 W WELLINGTON AVE, CHICAGO, IL 60641-5425
(773) 614-9092
Mailing address
4124 W WELLINGTON AVE, CHICAGO, IL 60641-5425
(773) 614-9092
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
01/18/2010
Last updated
01/18/2010
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