Individual
CLARISSA LUCINDA CALVILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3618 W 71ST ST, CHICAGO, IL 60629-4338
(773) 620-6116
Mailing address
3618 W 71ST ST, CHICAGO, IL 60629-4338
(773) 620-6116
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.01983
IL
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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