Individual
ELIJAH AGUILAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BACHELOR'S DEGREE
Contact information
Practice address
11755 SOUTHWEST HWY, PALOS HEIGHTS, IL 60463-1015
(708) 586-4239
Mailing address
3637 152ND PL, MIDLOTHIAN, IL 60445-3709
(708) 972-8581
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
23259169
IL
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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