Individual
MARISOL ACEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHP
Contact information
Practice address
1127 N OAKLEY BLVD, CHICAGO, IL 60622-3507
(312) 770-2599
(312) 770-2557
Mailing address
1127 N OAKLEY BLVD, CHICAGO, IL 60622-3507
(312) 770-2599
(312) 770-2557
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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