Individual
JOSEPHINE LUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1515 N HARLEM AVE, OAK PARK, IL 60302-1250
(630) 632-4350
Mailing address
1515 N HARLEM AVE STE 403, OAK PARK, IL 60302-1288
(630) 632-4350
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-423103
IL
Other
Enumeration date
05/09/2025
Last updated
05/09/2025
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