LUIS ALBERTO MACIEL-MALDONADO

CHICAGO, IL
NPI1063953495
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057.004693)
Enumeration Date2017-03-18
Last Update Date2017-03-18
Business Address
-- LUIS ALBERTO MACIEL-MALDONADO COTA/L
3000 S PULASKI RD
CHICAGO, IL 60623-4458
Phone number: 773-475-7651
Mailing Address
-- LUIS ALBERTO MACIEL-MALDONADO COTA/L
4516 W 55TH ST
CHICAGO, IL 60632-4722
Phone number: 773-691-2640