Individual
LYDIA SUSANA GARCIA
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
1921 W IRVING PARK RD, CHICAGO, IL 60613-2407
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.015705
IL
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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