Individual
ERVING LUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2630 S WABASH AVE, CHICAGO, IL 60616-2825
(312) 808-3210
(312) 791-9037
Mailing address
4524 N ARTESIAN AVE, CHICAGO, IL 60625-3004
(312) 808-3210
(312) 791-9037
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
31111
IL
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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