Individual
CHARLES ALVARADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
917 SHERWOOD DR, LAKE BLUFF, IL 60044-2224
(877) 486-4140
Mailing address
950 LEE ST STE 210, DES PLAINES, IL 60016-6574
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-40242
IL
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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