Individual
EDGAR ANTONIO MERCADO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSOT
Contact information
Practice address
140 E LOOP RD, WHEATON, IL 60189-8407
(630) 243-5850
Mailing address
304 N LOOMIS ST, CHICAGO, IL 60607-1147
(312) 243-8487
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056014163
IL
Other
Enumeration date
08/26/2021
Last updated
11/20/2023
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