Individual
MR. ALEJANDRO CUEVAS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-6392
(312) 569-8050
Mailing address
1040 W GRANVILLE AVE, 1027, CHICAGO, IL 60660-5200
(773) 909-9633
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.002919
IL
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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