Individual
JASMINE GISELLE CAPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
155 N MICHIGAN AVE STE 201, CHICAGO, IL 60601-7940
(312) 819-7381
Mailing address
3947 W WRIGHTWOOD AVE, CHICAGO, IL 60647-1048
(773) 415-0430
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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