Individual
MRS. CHRISTINA TINGSON MERCADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 ROYCE RD, SUITE 16, BOLINGBROOK, IL 60440-1458
(630) 226-9515
Mailing address
4450 W 111TH ST APT 18, OAK LAWN, IL 60453-5779
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056008554
IL
Other
Enumeration date
05/14/2010
Last updated
02/10/2016
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