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NPI Code Detail

MEDICARE: MARIA CATHERINE GONZALES ABARQUEZ O.T.

MEDICARE: MARIA CATHERINE GONZALES ABARQUEZ O.T.
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
1225XP0200XPediatric Occupational Therapist056.008577IL

General Provider Information

NPI Number : 1568899623
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA CATHERINE GONZALES ABARQUEZ O.T.
Provider Business Mailing Address
First Line : 1613 W WOODS DR APT 406
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-8012
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 800 W OAKTON ST
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-4602
Country : US
Telephone Number : 773-469-6145
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2013
Last Update Date : 07/21/2017

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