Individual
RAY NIKKO GUCE MANALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2773 SKOKIE VALLEY RD, HIGHLAND PARK, IL 60035-1042
(847) 266-9266
Mailing address
4851 N TRIPP AVE, CHICAGO, IL 60630-2720
(773) 822-3390
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.005400
IL
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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