Individual
MICHELLE PONCE-CORRAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
155 N MICHIGAN AVE, CHICAGO, IL 60601-7511
(312) 819-7381
Mailing address
1030 N DEARBORN ST APT 608, CHICAGO, IL 60610-2880
(540) 270-1528
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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