Individual
BEATRIZ ELISABET LEDESMA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATR LCPC
Contact information
Practice address
410 S MICHIGAN AVE, STE 609, CHICAGO, IL 60605
(773) 561-0825
Mailing address
410 S MICHIGAN AVE, STE 609, CHICAGO, IL 60605
(773) 561-0825
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21622289
BLUE CROSS BLUE SHIELD
IL
Enumeration date
10/03/2005
Last updated
07/08/2007
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