Individual
JESUS ALBERTO VARGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
2400 S FINLEY RD, LOMBARD, IL 60148-7029
(630) 620-5850
Mailing address
3820 CLIPPER DR, HANOVER PARK, IL 60133-6202
(630) 550-0593
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.014427
IL
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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