Individual
JAZMIN ALCAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4356 W 25TH ST, CHICAGO, IL 60623-4234
(312) 262-8075
Mailing address
4356 W 25TH ST, CHICAGO, IL 60623-4234
(312) 262-8075
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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