Individual
MS. DIANE PELEGRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4305 N LINCOLN AVE, SUITE K, CHICAGO, IL 60618-1711
(847) 722-4653
Mailing address
4305 N LINCOLN AVE, SUITE K, CHICAGO, IL 60618-1711
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.014612
IL
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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