Melissa Carava, Llc | |
222 E Wisconsin Ave Ste 108 Lake Forest IL 60045-1700 | |
(773) 717-2620 | |
Not Available |
Full Name | Melissa Carava, Llc |
---|---|
Speciality | Counselor - Professional |
Location | 222 E Wisconsin Ave Ste 108, Lake Forest, Illinois |
Authorized Official Name and Position | Melissa M Carava (OWNER) |
Authorized Official Contact | 7737172620 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Melissa Carava, Llc 515 Turicum Rd Lake Forest IL 60045-3365 Ph: (773) 717-2620 | Melissa Carava, Llc 222 E Wisconsin Ave Ste 108 Lake Forest IL 60045-1700 Ph: (773) 717-2620 |
NPI Number | 1821454661 |
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Provider Enumeration Date | 01/09/2016 |
Last Update Date | 10/27/2023 |
Certification Date | 10/27/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821454661 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180010016 (Illinois) | Primary |
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