Individual
MR. DARLITO ALAVA ORDONEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9136B WAUKEGAN RD, MORTON GROVE, IL 60053-2119
(847) 966-7260
(847) 966-7270
Mailing address
9136 WAUKEGAN ROAD, UNIT B, MORTON GROVE, IL 60053-1749
(847) 966-7260
(847) 966-7270
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205105647001
—
IL
Enumeration date
07/07/2006
Last updated
10/31/2007
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