Abrego, Maricela

Abrego, Maricela is an sole proprietor health care provider with primary practice located at 5449 W Wrightwood Ave , Chicago IL 60639-1456. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Abrego, Maricela can be contacted via phone (773) 615-5239.

Contact Information

Primary practice address
5449 W Wrightwood Ave Chicago IL 60639-1456
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 056.005516 Illinois

Profile Details

NPI number 1780707612
LBN Legal business name Abrego, Maricela
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 7th, 2007
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780707612 NPPES
Illinois MEDICAID 344600424001
Illinois Other MA04200200P

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