Individual
MABEL AVILAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-5495
Mailing address
1747 W ROOSEVELT RD, STE 160, CHICAGO, IL 60608-1264
(312) 942-5000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
125063770
IL
Other
Enumeration date
07/04/2013
Last updated
11/27/2016
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