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1386311371
EDGAR ANTONIO MERCADO
WHEATON, IL
NPI
1386311371
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056014163)
Enumeration Date
2021-08-26
Last Update Date
2023-11-20
Business Address
EDGAR ANTONIO MERCADO MSOT
140 E LOOP RD
WHEATON, IL 60189-8407
Phone number: 630-243-5850
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Mailing Address
EDGAR ANTONIO MERCADO MSOT
304 N LOOMIS ST
CHICAGO, IL 60607-1147
Phone number: 312-243-8487
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