Individual
DIAN MEDRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
500 W CENTRAL RD, MOUNT PROSPECT, IL 60056-2347
(708) 789-5669
Mailing address
4000 W MONTROSE AVE # PO2011, CHICAGO, IL 60641-2140
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178018225
IL
Other
Enumeration date
08/23/2022
Last updated
05/27/2025
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