Individual
MARIA VERONICA LLERENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1620 N LA SALLE DR, CHICAGO, IL 60614-6005
(312) 943-3600
Mailing address
5918 W DAKIN ST, CHICAGO, IL 60634-2640
(312) 342-1773
(773) 439-2814
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
56006074
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103034
—
IL
Enumeration date
03/16/2007
Last updated
05/20/2017
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