Organization
COLLIANCE WELLNESS PLLC
Active
Organization
COLLIANCE WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA MIRZA (PSYCHOTHERAPIST/OWNER)
(312) 890-9266
Entity
Organization
Contact information
Practice address
55 E MONROE ST STE 3800, CHICAGO, IL 60603-6030
(312) 714-0341
Mailing address
55 E MONROE ST STE 3800, CHICAGO, IL 60603-6030
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
149016140
IL
Other
Enumeration date
01/05/2018
Last updated
06/21/2021
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