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1134491442
LUIS ANTONIO CORTEZ
CHICAGO, IL
NPI
1134491442
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057.002715)
Enumeration Date
2012-02-01
Last Update Date
2012-02-01
Business Address
Mr. LUIS ANTONIO CORTEZ COTA
1366 W FULLERTON AVE
CHICAGO, IL 60614-2129
Phone number: 773-248-9300
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Mailing Address
Mr. LUIS ANTONIO CORTEZ COTA
1366 W FULLERTON AVE
CHICAGO, IL 60614-2129
Phone number: 773-248-9300
Copy
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