Individual
ANGELINA HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9624 S CICERO AVE # 341, OAK LAWN, IL 60453-3138
(773) 240-5377
Mailing address
1535 S TRIPP AVE, CHICAGO, IL 60623-1916
(773) 710-1810
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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