Organization
JEN FELICIANO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY FELICIANO (OWNER)
(312) 613-9473
Entity
Organization
Contact information
Practice address
4147 N RAVENSWOOD AVE FL 3, CHICAGO, IL 60613-2472
(312) 613-9473
Mailing address
4238 N MOBILE AVE, CHICAGO, IL 60634-1548
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/02/2024
Last updated
11/02/2024
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