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: |