Individual
LILIANA BOLANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REHAB COUNSELOR
Contact information
Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-8759
Mailing address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-8759
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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