Individual
ELEANOR LASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
233 E ERIE ST, CHICAGO, IL 60611-2926
(312) 961-7727
Mailing address
840 N LAKE SHORE DR, APT 903, CHICAGO, IL 60611-2489
(312) 397-9200
(312) 397-3139
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180-000660
IL
Other
Enumeration date
04/10/2006
Last updated
03/06/2009
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