Individual
MRS. JULIE SARAH RIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5501 W 79TH ST, BURBANK, IL 60459-1784
(708) 296-0852
Mailing address
11621 S KEDZIE AVE, MERRIONETTE PARK, IL 60803-5858
(708) 990-7076
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178013876
IL
Other
Enumeration date
06/22/2019
Last updated
06/22/2019
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