Individual
MS. ALICIA SABINA MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6889 HAMPTON CIR, GURNEE, IL 60031-4019
(224) 717-0313
Mailing address
6889 HAMPTON CIR, GURNEE, IL 60031-4019
(224) 717-0313
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
056009652
IL
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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