Individual
MS. LLECENIA PEREDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4954 N MONTICELLO AVE, CHICAGO, IL 60625-5618
(312) 532-2171
Mailing address
4954 N MONTICELLO AVE, CHICAGO, IL 60625-5618
(312) 532-2171
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/18/2016
Last updated
05/28/2022
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