Individual
MRS. BEVERLY YVONNE IVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1475 ROYAL BLVD, ELGIN, IL 60123-2040
(847) 531-8420
(847) 531-6242
Mailing address
1990 ROYAL BLVD, ELGIN, IL 60123-2529
(630) 788-9037
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/22/2019
Last updated
02/22/2019
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