Individual
MRS. TERESA ELAYYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC, ICDVP
Contact information
Practice address
4239 W 95TH ST, OAK LAWN, IL 60453-2623
(708) 529-0188
Mailing address
16728 JULIE ANN LN, ORLAND PARK, IL 60467-5651
(170) 894-0232
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
36010
IL
Other
Enumeration date
06/28/2022
Last updated
12/28/2023
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