Individual
LESLIE TOTARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1904 W NELSON ST, CHICAGO, IL 60657-2012
(312) 961-0076
Mailing address
1904 W NELSON ST, CHICAGO, IL 60657-2012
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
05/30/2017
Last updated
06/16/2018
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