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Individual

LISSETTE CALDERON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2233 W DIVISION ST, CHICAGO, IL 60622-8151
(773) 318-2348
Mailing address
1279 ORIOLE TRL, CAROL STREAM, IL 60188-6063
(773) 318-2348

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056005540
IL
225X00000X
Occupational Therapist
56005540
IL

Other

Enumeration date
02/03/2018
Last updated
02/03/2018
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