Individual
GINA MARIE CACIOPPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4935 N NORDICA AVE, CHICAGO, IL 60656-3822
(773) 732-6772
Mailing address
4935 N NORDICA AVE, CHICAGO, IL 60656-3822
(773) 732-6772
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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