Individual
MIA ILIOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MM, MT-BC, CDP
Contact information
Practice address
7749 S OCTAVIA AVE, BRIDGEVIEW, IL 60455-1332
(847) 863-0234
Mailing address
7749 S OCTAVIA AVE, BRIDGEVIEW, IL 60455-1332
(847) 863-0234
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
13308
IL
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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