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Individual

KELLY ORTEGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
18301 DISTINCTIVE DR, ORLAND PARK, IL 60467-9461
(708) 928-5700
Mailing address
4637 W ORCHARD VIEW CT, ALSIP, IL 60803-2524

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178010240
IL

Other

Enumeration date
01/19/2023
Last updated
01/19/2023
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