Individual
DAISY SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
695 S STATE ST, ELGIN, IL 60123-7673
(630) 966-4000
Mailing address
695 S STATE ST, ELGIN, IL 60123-7673
(630) 966-4000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36-2472748
—
IL
Enumeration date
02/25/2019
Last updated
02/25/2019
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