| Alissa Mazzenga Pllc | |
|
1770 W Berteau Ave Ste 302a Chicago IL 60613-1750 | |
| (847) 567-7888 | |
| Not Available |
| Full Name | Alissa Mazzenga Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1770 W Berteau Ave Ste 302a, Chicago, Illinois |
| Authorized Official Name and Position | Alissa Mazzenga (OWNER) |
| Authorized Official Contact | 8475677888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alissa Mazzenga Pllc 4610 N Clark St # 1160 Chicago IL 60640-4620 Ph: (847) 567-7888 | Alissa Mazzenga Pllc 1770 W Berteau Ave Ste 302a Chicago IL 60613-1750 Ph: (847) 567-7888 |
| NPI Number | 1306616651 |
|---|---|
| Provider Enumeration Date | 01/08/2024 |
| Last Update Date | 01/08/2024 |
| Certification Date | 01/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306616651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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