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Individual

ANTONIA SALES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4109 FLORENCE WAY, GLENVIEW, IL 60025-5631
(773) 780-1448
Mailing address
2321 TRUMBULL AVE, RIVER GROVE, IL 60171-1850
(312) 709-5041

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NONE
NONE
IL
Enumeration date
09/28/2019
Last updated
09/28/2019
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