Individual
ISIDRO CARDONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MED.,CADC.,NCRS
Contact information
Practice address
2230 N 77TH AVE, ELMWOOD PARK, IL 60707-3014
(708) 452-0865
Mailing address
1127 N OAKLEY BLVD, CHICAGO, IL 60622-3507
(312) 770-3313
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17651
IL
101YA0400X
Addiction (Substance Use Disorder) Counselor
24499
IL
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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