Organization
EL TALLER DEL MAESTRO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCISCO CANALES (OWNER)
(815) 209-9899
Entity
Organization
Contact information
Practice address
524 CARRIAGE DR, APT. 1A, WEST CHICAGO, IL 60185-4095
(815) 209-9899
Mailing address
524 CARRIAGE DR, APT. 1A, WEST CHICAGO, IL 60185-4095
(815) 209-9899
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/24/2010
Last updated
03/24/2010
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