Individual
ANA RUTH ORDONEZ PASTORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1414 MAIN ST, MELROSE PARK, IL 60160-3902
(708) 681-0073
Mailing address
1414 MAIN ST, MELROSE PARK, IL 60160-3902
(708) 681-0073
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
NONE
—
Other
Enumeration date
05/17/2017
Last updated
05/17/2017
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