CARLOS MEDINA

CHICAGO, IL
NPI1942077425
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IL  178.018305)
Enumeration Date2023-12-05
Last Update Date2023-12-05
Business Address
CARLOS MEDINA
2650 W MONTROSE AVE STE 102
CHICAGO, IL 60618-1562
Phone number: 872-228-9632
Mailing Address
CARLOS MEDINA
4504 N PAULINA ST APT 202
CHICAGO, IL 60640-5381
Phone number:
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