Individual
MARY GIANATASIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2320 N DAMEN AVE, 2F, CHICAGO, IL 60647-3359
(773) 255-1855
Mailing address
5401 BENDING OAKS PL, DOWNERS GROVE, IL 60515-4456
(630) 404-7834
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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