Organization
DIALOGUE TO WELLNESS
Active
Other names
JAM Solutions LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ANDREA MARTINEZ MSW, LCSW (MANAGER/MEMBER)
(312) 286-5215
Entity
Organization
Contact information
Practice address
639 W DIVERSEY PKWY, CHICAGO, IL 60614-1501
(773) 312-5265
Mailing address
2920 N COMMONWEALTH AVE, CHICAGO, IL 60657-6233
(773) 312-5265
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149014238
IL
Other
Enumeration date
03/10/2016
Last updated
09/27/2022
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