Individual
BERENICE MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3704 N. DRAKE AVE, CHICAGO, IL 60618
(773) 539-6427
Mailing address
3704 N. DRAKE AVE, CHICAGO, IL 60618
(773) 539-6427
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
01/10/2008
Last updated
01/10/2008
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