# CONSUELO, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Consuelo Therapeutic Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407555477
- **Authorized official:** PATRICIA PEREZ LCSW, MBA (PRESIDENT/CEO)
- **Authorized official phone:** (773) 581-4357

## Contact information

- **Practice address:** 33 N COUNTY ST, WAUKEGAN, IL 60085-4315
- **Practice address phone:** (773) 581-4357
- **Practice address fax:** (773) 498-7186
- **Mailing address:** 6149 S KENNETH AVE \# 2ND, CHICAGO, IL 60629-5209
- **Mailing address phone:** (773) 616-1095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251V00000X | Voluntary or Charitable Agency | — | NULL | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 02/28/2023
- **Last updated:** 02/28/2023