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NPI Code Detail

MEDICARE: MISS JULIA RITA ROMERO

MEDICARE: MISS JULIA RITA ROMERO
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
1101YP2500XProfessional Counselor178014193IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10000000000OTHERPRIVATE PRACTICE

General Provider Information

NPI Number : 1003374661
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS JULIA RITA ROMERO
Provider Business Mailing Address
First Line : 2208 S DAMEN AVE FL 3
Second Line :
City : CHICAGO
State : IL
Zip : 60608-5280
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7222 W CERMAK RD STE 500
Second Line :
City : RIVERSIDE
State : IL
Zip : 60546-1443
Country : US
Telephone Number : 773-312-3612
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2019
Last Update Date : 03/03/2019

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Directions to “ MISS JULIA RITA ROMERO ” Practice Location

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