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
Phone: (773) 615-5239
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1780707612 | NPPES |
Illinois | MEDICAID | 344600424001 | |
Illinois | Other | MA04200200P |
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