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Individual

MRS. ELSIE HURTADO POLLARI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
9649 W 55TH ST, COUNTRYSIDE, IL 60525-3632
(708) 352-3580
Mailing address
1500 W MONROE ST, #421, CHICAGO, IL 60607-2413
(847) 682-3796

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056009003
IL

Other

Enumeration date
08/09/2010
Last updated
08/09/2010
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