Individual
LUISA ELENA ADAME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3860 W OGDEN AVE, CHICAGO, IL 60623-2460
(872) 588-3000
Mailing address
3860 W OGDEN AVE, CHICAGO, IL 60623-2460
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180013835
IL
101YP2500X
Professional Counselor
178.014381
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180013835
STATE LICENSE
IL
Enumeration date
03/23/2020
Last updated
09/15/2021
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