NPI 1003613803

Romeo T Villasenor

Practitioner Occupational Therapy Assistant Chicago, IL

Practice location

Address: 4018 N Parkside Ave # 1, Chicago, IL 60634-1833
Phone: (773) 732-0049

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 057002328 (IL)

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Registry record

NPI: 1003613803
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Feb 2025
Record last updated: 27 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.