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LILIANA ALEJANDRA HERRERA MA

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1871076463

Individual Registrant:
 LILIANA ALEJANDRA HERRERA MA
Gender: F
Not Sole Proprietor

Location and contact information for practice:
3540 S 58TH CT  CICERO, IL 60804-4266 US
Tel: 708-291-0576  Fax: --

Contact information for business:
3540 S 58TH CT  CICERO, IL 60804-4266 US
Tel: 708-291-0576  Fax: --

Registration Information:
NPI: 1871076463
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
IL242004955

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
IDFPR LICENSE242004955IL01




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