Individual
ALICIA ESCUDERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3858 W 60TH ST, CHICAGO, IL 60629-4524
(773) 499-6047
Mailing address
3858 W 60TH ST, CHICAGO, IL 60629-4524
(773) 499-6047
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
08/10/2011
Last updated
08/10/2011
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