Individual
DOMENICO CARLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
650 N DEARBORN ST, #400, CHICAGO, IL 60654-3873
(312) 291-9570
Mailing address
650 N DEARBORN ST, #400, CHICAGO, IL 60654-3873
(312) 191-6570
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180004286
IL
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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