Individual
SALVADOR MORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5417 W 24TH ST, CICERO, IL 60804-2755
(773) 696-1179
Mailing address
5417 W 24TH ST, CICERO, IL 60804-2755
(773) 696-1179
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
IL
Other
Enumeration date
02/11/2026
Last updated
02/11/2026
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