Individual
ALAN TELLEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2615 S 58TH CT, CICERO, IL 60804-3218
(708) 469-8816
Mailing address
2615 S 58TH CT, CICERO, IL 60804-3218
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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