Individual
MISS RITA J DOLIS I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1607 W HOWARD, THIRD FL, CHICAGO, IL 60626
(312) 744-7617
Mailing address
1607 W HOWARD ST, THIRD FL, CHICAGO, IL 60626-1675
(312) 744-7617
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1507 CADC
IL
Other
Enumeration date
07/13/2010
Last updated
07/13/2010
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