Individual
MELISSA HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5752 S PULASKI RD, CHICAGO, IL 60629-4437
(773) 582-7529
Mailing address
3625 VERNON AVE, BROOKFIELD, IL 60513-1613
(630) 835-7170
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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