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NPI Code Detail

MEDICARE: MS. ALESSA SALEM LACHICA

MEDICARE: MS. ALESSA SALEM LACHICA
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
12251G0304XGeriatric Physical Therapist

General Provider Information

NPI Number : 1225897622
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ALESSA SALEM LACHICA
Provider Business Mailing Address
First Line : 5109 N CENTRAL PARK AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60625-9104
Country : US
Telephone Number : 708-314-0563
Fax Number :
Provider Business Practice Location Address
First Line : 5109 N CENTRAL PARK AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60625-9104
Country : US
Telephone Number : 708-314-0563
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2024
Last Update Date : 03/18/2024

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Directions to “ MS. ALESSA SALEM LACHICA ” Practice Location

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