MEDICARE: LILIA VALADEZ IZGUERRA TRANSLATOR

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	171R00000X	Interpreter	4251301	IL

General Provider Information

NPI Number	:	1629484712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LILIA VALADEZ IZGUERRA TRANSLATOR

Provider Business Mailing Address
First Line	:	4435 FRANKLIN AVE
Second Line	:
City	:	WESTERN SPRINGS
State	:	IL
Zip	:	60558-1530
Country	:	US
Telephone Number	:	708-268-0115
Fax Number	:

Provider Business Practice Location Address
First Line	:	4435 FRANKLIN AVE
Second Line	:
City	:	WESTERN SPRINGS
State	:	IL
Zip	:	60558-1530
Country	:	US
Telephone Number	:	708-268-0115
Fax Number	:

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

Provider Enumeration Date	:	07/09/2014
Last Update Date	:	07/09/2014

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