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NPI Code Detail

MEDICARE: MS. ESMERALDA VIDIRIANA SANCHEZ I M.A

MEDICARE: MS. ESMERALDA VIDIRIANA SANCHEZ I M.A
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist
2235Z00000XSpeech-Language Pathologist242003407IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000242001OTHERILISBE

General Provider Information

NPI Number : 1144688292
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ESMERALDA VIDIRIANA SANCHEZ I M.A
Provider Business Mailing Address
First Line : 42 W MADISON ST
Second Line :
City : CHICAGO
State : IL
Zip : 60602-4309
Country : US
Telephone Number : 773-553-1000
Fax Number :
Provider Business Practice Location Address
First Line : 42 W MADISON ST
Second Line :
City : CHICAGO
State : IL
Zip : 60602-4309
Country : US
Telephone Number : 312-731-8507
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2016
Last Update Date : 12/02/2021

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