Individual
LUZ LAUREL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2818 S TRIPP AVE, CHICAGO, IL 60623-4336
(177) 324-0537
Mailing address
2818 S TRIPP AVE, CHICAGO, IL 60623-4336
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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