Individual
EDUARDO MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3351 S HAMILTON AVE, CHICAGO, IL 60608-6033
(773) 954-6754
Mailing address
3351 S HAMILTON AVE, CHICAGO, IL 60608-6033
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/14/2025
Last updated
02/14/2025
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