Individual
SONIA AGUIRRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1620 N LASALLE ST, CHICAGO, IL 60614-6005
(312) 943-3600
(866) 410-9192
Mailing address
8442 S KARLOV AVE, CHICAGO, IL 60652-3104
(773) 987-1347
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160005105
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160005105
IDFPR
IL
Enumeration date
03/18/2011
Last updated
03/18/2011
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