Individual
IZULI CANTORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5540 W 111TH ST STE 1, OAK LAWN, IL 60453-5575
(708) 634-0821
Mailing address
5850 GRANITE PKWY STE 600, PLANO, TX 75024-6753
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
C536-4000-1682
IL
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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