Individual
DIANA HASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 N CLYBOURN AVE STE C, CHICAGO, IL 60610-3017
(312) 242-1665
Mailing address
1500 N CLYBOURN AVE UNIT C105, CHICAGO, IL 60610-2295
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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