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MARICELA ABREGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
5449 W WRIGHTWOOD AVE, CHICAGO, IL 60639-1456
(773) 615-5239
Mailing address
5449 W WRIGHTWOOD AVE, CHICAGO, IL 60639-1456
(773) 615-5239

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056.005516
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
344600424001
IL
01
MA04200200P
E.I. CREDENTIAL NUMBER
IL
Enumeration date
04/07/2007
Last updated
07/09/2007
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