Individual
KELLY SUZANNE STRUMILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 MAPLE AVE, DOWNERS GROVE, IL 60515-4928
(630) 353-0697
Mailing address
5112 FOREST AVE, DOWNERS GROVE, IL 60515-4608
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.017024
IL
Other
Enumeration date
07/21/2020
Last updated
05/06/2022
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