Individual
GIAVANNA LOUISE KISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1951 N MONTICELLO AVE # 1, CHICAGO, IL 60647-3624
(630) 669-1178
Mailing address
1951 N MONTICELLO AVE # 1, CHICAGO, IL 60647-3624
(630) 669-1178
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178021623
IL
Other
Enumeration date
05/13/2025
Last updated
05/13/2025
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