Individual
DAISY LEMUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5341 W CERMAK RD, CICERO, IL 60804-2817
(708) 656-6430
Mailing address
5408 S KEELER AVE, CHICAGO, IL 60632-4234
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
L52016091636
IL
Other
Enumeration date
07/05/2017
Last updated
09/06/2017
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