Individual
DANIEL SANTIAGO VERGARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2001 S CALIFORNIA AVE, CHICAGO, IL 60608-2486
(773) 584-6200
Mailing address
2703 S KOMENSKY AVE, CHICAGO, IL 60623-4447
(773) 704-6552
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178012450
IL
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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