Individual
ISABEL GRACE BOGART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
30 N MICHIGAN AVE, CHICAGO, IL 60602-3402
(312) 279-9981
Mailing address
2641 W HADDON AVE, CHICAGO, IL 60622-3434
(202) 257-5449
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.020722
IL
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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