Individual
MIKE KELVIN TOLENTINO ESGUERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 N TYLER RD APT 233, ST CHARLES, IL 60174-2356
(312) 351-9675
Mailing address
201 N TYLER RD APT 233, ST CHARLES, IL 60174-2356
(312) 351-9675
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.010659
IL
Other
Enumeration date
10/30/2018
Last updated
06/16/2020
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