Barraza, Maria Angelica

Barraza, Maria Angelica is an individual health care provider with primary practice located at 5716 N Jersey Ave , Chicago IL 60659-3616. 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. Barraza, Maria Angelica can be contacted via phone (773) 914-0123.

Contact Information

Primary practice address
5716 N Jersey Ave Chicago IL 60659-3616
Phone: (773) 914-0123
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 56005840 Illinois

Profile Details

NPI number 1942371299
LBN Legal business name Barraza, Maria Angelica
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2006
Last updated Nov 11th, 2014 - about 10 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 1942371299 NPPES
Illinois Other 56005840 STATE LICENSE NUMBER

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