Individual
DIAMOND B WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
169 W HURON ST UNIT 605, CHICAGO, IL 60654-3611
(312) 806-1662
Mailing address
169 W HURON ST UNIT 605, CHICAGO, IL 60654-3611
(312) 806-1662
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180011150
IL
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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