Most Relevant Information
Provider Data
| NPI Number: | 1003461997 |
| Provider Name: | MELISSA CHAVEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/07/2019 |
| Last Updated: | 08/07/2019 |
Provider Practice Location
2100 RIDGE AVE
EVANSTON
IL
602012716
Practice Location Phone/Fax
| Phone: | 8478662977 |
| Fax: |
Provider Mailing Location
2100 RIDGE AVE STE G320
EVANSTON
IL
602012716
Provider Mailing Phone/Fax
| Phone: | 8478662977 |
| Fax: |