Individual
IRIS MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
155 N MICHIGAN AVE STE 500C, CHICAGO, IL 60601-7511
(312) 620-7551
Mailing address
155 N MICHIGAN AVE STE 500C, CHICAGO, IL 60601-7511
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
150.110695
IL
104100000X
Social Worker
150.110695
IL
Other
Enumeration date
09/11/2023
Last updated
12/19/2023
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