MEDICARE: ALYANNA GARILAO

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
1	106S00000X	Behavior Technician		IL

General Provider Information

NPI Number	:	1588526115
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYANNA GARILAO

Provider Business Mailing Address
First Line	:	8400 N ORIOLE AVE
Second Line	:
City	:	NILES
State	:	IL
Zip	:	60714-2060
Country	:	US
Telephone Number	:	312-340-1433
Fax Number	:

Provider Business Practice Location Address
First Line	:	2704 W PETERSON AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60659-3920
Country	:	US
Telephone Number	:	224-593-6749
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/02/2025

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Directions to “ ALYANNA GARILAO ” Practice Location

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