Individual
COREY RIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10001 GRAND AVE, FRANKLIN PARK, IL 60131-2563
(847) 451-0330
Mailing address
10001 GRAND AVE, FRANKLIN PARK, IL 60131-2563
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000154
—
IL
05
—
1000194
—
IL
05
—
1000234
—
IL
05
—
1000244
—
IL
05
—
1000254
—
IL
05
—
1000264
—
IL
05
—
1000284
—
IL
05
—
1000525
—
IL
05
—
1000565
—
IL
Enumeration date
09/03/2016
Last updated
09/03/2016
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