Most Relevant Information
Provider Data
| NPI Number: | 1003247529 |
| Provider Name: | MAYRA DENIZ |
| Entity Type: | Individual |
| Taxonomy Code: | 222Q00000X |
| Specialty: | Developmental Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/09/2013 |
| Last Updated: | 12/09/2013 |
Provider Practice Location
1000 W 15TH ST UNIT 227
CHICAGO
IL
606081466
Practice Location Phone/Fax
| Phone: | 7732067898 |
| Fax: |
Provider Mailing Location
1000 W 15TH ST UNIT 227
CHICAGO
IL
606081466
Provider Mailing Phone/Fax
| Phone: | 7732067898 |
| Fax: |