Organization
SHINING EARLY STAR INTERPRETING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAMILETH VALDES (OWNER)
(773) 844-2416
Entity
Organization
Contact information
Practice address
7836 LECLAIRE AVE, BURBANK, IL 60459-1544
(773) 844-2416
Mailing address
7836 LECLAIRE AVE, BURBANK, IL 60459-1544
(773) 844-2416
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/21/2011
Last updated
10/21/2011
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