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NPI Code Detail

MEDICARE: RICCARDO PAUL CALABRESE

MEDICARE: RICCARDO PAUL CALABRESE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1568948297
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICCARDO PAUL CALABRESE
Provider Business Mailing Address
First Line : 360 RIDGE AVE APT 8-2
Second Line :
City : EVANSTON
State : IL
Zip : 60202-3359
Country : US
Telephone Number : 630-854-8285
Fax Number :
Provider Business Practice Location Address
First Line : 8 S MICHIGAN AVE STE 2800
Second Line :
City : CHICAGO
State : IL
Zip : 60603-3326
Country : US
Telephone Number : 312-481-7722
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2018
Last Update Date : 05/07/2021

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Directions to “ RICCARDO PAUL CALABRESE ” Practice Location

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