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Organization

CIRIO THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SIMONA L CIRIO LMFT (SOLE MEMBER)
(312) 451-8980
Entity
Organization

Contact information

Practice address
1740 RIDGE AVE, SUITE 200 C, EVANSTON, IL 60201-5918
(312) 451-8980
(312) 602-1002
Mailing address
175 N FRANKLIN ST, SUITE 301, CHICAGO, IL 60606-1832
(312) 451-8980
(312) 602-1002

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166-000786
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12387317
CAQH ID#
IL
01
1598959868
INDIVIDUAL NPI #
IL
Enumeration date
09/03/2013
Last updated
09/03/2013
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