Individual
DELILAH NICOLE MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1921 W IRVING PARK RD, CHICAGO, IL 60613-2407
(312) 243-8487
Mailing address
6165 N WINTHROP AVE APT 204, CHICAGO, IL 60660-2661
(773) 844-2795
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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