Individual
ELIZABETH PUCCINELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
820 N ORLEANS ST STE 320, CHICAGO, IL 60610-3132
(312) 809-0298
Mailing address
1010 LAKE ST STE 605, OAK PARK, IL 60301-1136
(312) 809-0298
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178016907
IL
Other
Enumeration date
12/22/2021
Last updated
09/19/2024
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