Individual
DIEGO VINTIMILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
715 LAKE ST STE 720&800, OAK PARK, IL 60301-1422
(773) 312-3612
Mailing address
810 N CLARK ST APT 1207, CHICAGO, IL 60610-3625
(312) 402-0804
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IL
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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