Individual
MARIA LUISA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RSA
Contact information
Practice address
3717 S 56TH CT, CICERO, IL 60804-4312
(773) 983-7139
Mailing address
3717 S 56TH CT, CICERO, IL 60804-4312
(773) 983-7139
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
238000476
IL
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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