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1013392000
ILIS ZAVALA
NORTH RIVERSIDE, IL
NPI
1013392000
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056.010788)
Enumeration Date
2015-07-20
Last Update Date
2015-07-20
Business Address
-- ILIS ZAVALA
7222 W CERMAK RD #500
NORTH RIVERSIDE, IL 60546-1422
Phone number: 708-442-0023
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Mailing Address
-- ILIS ZAVALA
7840 W NORTH AVE 3G
ELMWOOD PARK, IL 60707-3514
Phone number: 773-332-7224
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