Individual
ALEXIA ILIAN DERMA SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 W 19TH ST - 3RD FLOOR REAR, CHICAGO, IL 60608
(773) 949-2079
Mailing address
2301 W 19TH ST - 3RD FLOOR REAR, CHICAGO, IL 60608
(773) 949-2079
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.004726
IL
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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