Individual
CARLY JUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2610 LAKE COOK RD STE 133, RIVERWOODS, IL 60015-5710
(847) 219-5877
Mailing address
2100 WALNUT CIR, NORTHBROOK, IL 60062-1248
(847) 219-5877
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/01/2023
Last updated
12/06/2024
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