Fanor Benavidez
Fanor Benavidez is an Occupational Therapy Assistant in LA Grange, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2024
Practice location Address checks out
35 Shawmut AveLA Grange, IL 60525-8648
Phone: (708) 206-9899
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Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X · Licence 057.005735 (IL) |
|---|
Record details
| NPI number | 1316793011 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 24, 2024 |
| Last updated in NPPES | April 24, 2024 |
| Certification date | April 23, 2024 |
| Mailing address | 2824 Harvey Ave, Berwyn, IL 60402-2705 |
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