Organization
CONSUELO, INC.
Active
Other names
Consuelo Therapeutic Services
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA PEREZ LCSW, MBA (PRESIDENT/CEO)
(773) 581-4357
Entity
Organization
Contact information
Practice address
33 N COUNTY ST, WAUKEGAN, IL 60085-4315
(773) 581-4357
(773) 498-7186
Mailing address
6149 S KENNETH AVE # 2ND, CHICAGO, IL 60629-5209
(773) 616-1095
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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