Individual
ALA SALEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1909 CHEKER SQ, EAST HAZEL CREST, IL 60429-1442
(708) 642-3343
Mailing address
1909 CHEKER SQ, EAST HAZEL CREST, IL 60429-1442
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
IL
101YP2500X
Professional Counselor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1
CICB INC
IL
Enumeration date
06/21/2018
Last updated
04/26/2024
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