Search › Illinois › 224Z00000X
Theresa Banzuela, COTA/L
NPI 1205317567 · on the registry since 2018 · sole proprietor
Practice
- Address
- 5320 W Fletcher St
Chicago, IL 60641 - Phone
- (773) 971-3352
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-08-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois