Organization
MEDRANO AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIAN MEDRANO (THERAPIST)
(708) 990-0796
Entity
Organization
Contact information
Practice address
564 W RANDOLPH ST, CHICAGO, IL 60661-2218
(708) 990-0796
Mailing address
1134 W GRANVILLE AVE APT 820, CHICAGO, IL 60660-5050
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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