Individual
MISS DANIELA M. CHACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8358 S KEELER AVE, CHICAGO, IL 60652-3126
(708) 674-4523
Mailing address
8358 S KEELER AVE, CHICAGO, IL 60652-3126
(708) 612-1459
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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