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Organization

KEI

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ERICA ESTRADA AD (DIRECTOR)
(773) 793-4846
Entity
Organization

Contact information

Practice address
4412 N OAK PARK AVE, HARWOOD HEIGHTS, IL 60706-4836
(773) 793-4846
(708) 395-5158
Mailing address
4412 N OAK PARK AVE, HARWOOD HEIGHTS, IL 60706-4836
(773) 793-4846
(708) 395-5158

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
09/12/2013
Last updated
09/12/2013
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