Doctor Name: | LIZETTE HERRERA QUINONES |
NPI Number: | 1144504242 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR/L |
License Number: | 056009487 |
Business Practice Address: | 7222 W Cermak Rd Ste 500 North Riverside, IL - 605461443 |
Business Phone Number: | 7084420023 |
Business Fax Number: | 7084420025 |
Mailing Address: | 7222 W Cermak Rd Ste 500, NORTH RIVERSIDE |
State: | IL |
Postal Code: | 605461443 |
Phone Number: | 7084420023 |
Fax Number: | 7084420025 |
NPI Enumeration Date: | 10/06/2011 |
NPI Last Update Date: | 01/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 056009487 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |