Healthcare Provider Details

I. General information

NPI: 1285550830
Provider Name (Legal Business Name): ISABELLE B RIZO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2026
Last Update Date: 06/27/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4723 N TALMAN AVE UNIT G
CHICAGO IL
60625-2993
US

IV. Provider business mailing address

4723 N TALMAN AVE UNIT G
CHICAGO IL
60625-2993
US

V. Phone/Fax

Practice location:
  • Phone: 773-744-9554
  • Fax:
Mailing address:
  • Phone: 773-744-9554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number25-443
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number178.023024
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: