Most Relevant Information
Provider Data
NPI Number: | 1003532623 |
Provider Name: | KELSEY SUGLICH |
Entity Type: | Individual |
Taxonomy Code: | 101Y00000X |
Specialty: | Counselor |
License Number: | 178.018431 |
Most Important Dates
Enumeration Date: | 10/14/2022 |
Last Updated: | 08/24/2023 |
Provider Practice Location
1806 N DAMEN AVE
CHICAGO
IL
606475511
Practice Location Phone/Fax
Phone: | 7732700469 |
Fax: |
Provider Mailing Location
1806 N DAMEN AVE
CHICAGO
IL
606475511
Provider Mailing Phone/Fax
Phone: | 7732700469 |
Fax: |