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NPI Code Detail

MEDICARE: JOVANA IRENE TORRES

MEDICARE: JOVANA IRENE TORRES
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
1103K00000XBehavior Analyst

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417397258
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOVANA IRENE TORRES
Provider Business Mailing Address
First Line : 1511 S 57TH AVE
Second Line :
City : CICERO
State : IL
Zip : 60804-1702
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1622 S BLUE ISLAND AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60608-2238
Country : US
Telephone Number : 224-288-8172
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2013
Last Update Date : 06/23/2025

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Directions to “ JOVANA IRENE TORRES ” Practice Location

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