Corazon Raposa Agravante in Chicago - Developmental Therapist
Corazon Raposa Agravante - NPI 1447410063
Corazon Raposa Agravante is a Developmental Therapist in Chicago, Illinois. Corazon Raposa Agravante practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Corazon Raposa Agravante is 1447410063. The last update date is 2008-06-17.
Corazon Raposa Agravante's current location address is 1926 W Harrison St, Chicago, Illinois. You can contact this provider via phone number 8563131386 and fax number 3128649336. The mailing address for Corazon Raposa Agravante is 1926 W Harrison St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Corazon Raposa Agravante |
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Address | 1926 W Harrison St, Chicago, Illinois |
Phone Number | 8563131386 |
Fax Number | 3128649336 |
Sole Proprietor | Y |
Credentials | D.T. |
NPI Number Detail
NPI Number | 1447410063 |
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Provider Enumeration Date | 2008-06-17 |
Last Updated Date | 2008-06-17 |
Provider Mailing Address Detail
Address | 1926 W Harrison St |
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City | Chicago |
State | Illinois (IL) |
Post Code | 606123737 |
Phone Number | 8563131386 |
Fax Number | 3128649336 |
Provider's Primary Taxonomy Detail
Speciality | Developmental Therapist |
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Taxonomy | 222Q00000X |
Definition: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education |
Post Comment/ Review Below
What is the Corazon Raposa Agravante's unique identification number?
The Corazon Raposa Agravante has been assigned the NPI (National Provider Identifier) Number 1447410063 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Corazon Raposa Agravante is physically located?
The Corazon Raposa Agravante is situated at the following address: 1926 W Harrison St, Chicago, IL 606123737.
What is the Corazon Raposa Agravante's specialty and taxonomy code?
The Corazon Raposa Agravante's specialty is Developmental Therapist, and the corresponding taxonomy code is 222Q00000X.
On what date did the Corazon Raposa Agravante receive its 1447410063 assignment from the Centers for Medicare & Medicaid Services?
The Corazon Raposa Agravante was assigned its 1447410063 by the Centers for Medicare & Medicaid Services on 2008-06-17.
As of what date was the information pertaining to Corazon Raposa Agravante, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Corazon Raposa Agravante, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-06-17.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC