Provider Demographics
NPI:1093964322
Name:ARELLANO DURAN, LUCIA (LUCIA ARELLANO OTR/L)
Entity Type:Individual
Prefix:
First Name:LUCIA
Middle Name:
Last Name:ARELLANO DURAN
Suffix:
Gender:F
Credentials:LUCIA ARELLANO OTR/L
Other - Prefix:MS
Other - First Name:LUCIA
Other - Middle Name:
Other - Last Name:ARELLANO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS OTR/L
Mailing Address - Street 1:3915 W 104TH ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60655-3704
Mailing Address - Country:US
Mailing Address - Phone:773-331-0181
Mailing Address - Fax:
Practice Address - Street 1:5540 W 111TH ST
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-5574
Practice Address - Country:US
Practice Address - Phone:773-373-3333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-10
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056008437225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist