Organization
KRISTINE OLIVAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE OLIVAS M.A. (OWNER)
(773) 957-5352
Entity
Organization
Contact information
Practice address
10725 S WESTERN AVE, CHICAGO, IL 60643-3135
(773) 957-5352
(773) 253-9551
Mailing address
11164 S SAINT LOUIS AVE, CHICAGO, IL 60655-3521
(773) 253-9551
(773) 253-9551
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.000734
IL
Other
Enumeration date
01/12/2009
Last updated
03/10/2009
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