Individual
GIANNA ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8505 183RD ST STE D, TINLEY PARK, IL 60487-9353
(708) 864-2990
Mailing address
124 WHISPERING LAKE DR, PALOS PARK, IL 60464-2533
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/25/2019
Last updated
08/25/2019
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