Individual
PATRICIA CERENIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25480 W CEDAR CREST LN, LAKE VILLA, IL 60046-8256
(847) 356-8205
Mailing address
55 E JACKSON BLVD STE 1500, CHICAGO, IL 60604-4137
(312) 663-1130
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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