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Mindy Cisneros

Developmental Therapist in Oak Lawn, IL. Individual provider (NPI-1).

NPI number1831713841
StatusActive
Last updated in NPPESJun 4, 2020

Details

NPI
1831713841
Entity type
Individual (NPI-1)
Name
Mindy Cisneros
Sex
Female
Sole proprietor
No
Enumeration date
Jun 4, 2020
Certification date
Jun 4, 2020
Last updated
Jun 4, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
222Q00000X Developmental Therapist––Yes

Practice location

11033 S Kilbourn Ave
Oak Lawn, IL 60453-5734

Phone 773-885-0735

Mailing address

11033 S Kilbourn Ave
Oak Lawn, IL 60453-5734

Phone 773-885-0735

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Other Developmental Therapist providers in Oak Lawn, IL

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