Individual
MISS DAISY STEPHANIE ZULUAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3002 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8190
(847) 984-5961
Mailing address
12811 W 28TH ST, BEACH PARK, IL 60099-9751
(847) 946-7749
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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