Individual
GREGORY SCOTT RIZZOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
122 SOUTH MICHIGAN AVENUE, #1450, CHICAGO, IL 60603
(312) 588-0654
Mailing address
122 SOUTH MICHIGAN AVENUE, #1450, CHICAGO, IL 60614
(312) 588-0654
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180008936
IL
101YP2500X
Professional Counselor
178007901
IL
101YP2500X
Professional Counselor
180008936
IL
Other
Enumeration date
11/27/2013
Last updated
01/14/2014
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