RAINIER PHILLIP HIDALGO

MORTON GROVE, IL
NPI1972762268
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IL  056005452)
Enumeration Date2008-06-03
Last Update Date2008-06-03
Business Address
-- RAINIER PHILLIP HIDALGO OT
6005 DEMPSTER ST
MORTON GROVE, IL 60053-2943
Phone number: 847-470-1844
Mailing Address
-- RAINIER PHILLIP HIDALGO OT
6005 DEMPSTER ST
MORTON GROVE, IL 60053-2943
Phone number: 847-470-1844