Individual
DORIS OFORJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1414 MAIN ST, MELROSE PARK, IL 60160
(708) 681-0073
Mailing address
820 W BELLE PLAINE AVE, CHICAGO, IL 60613-2154
(773) 507-0832
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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