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NPI Code Detail

MEDICARE: MOROTE ARIZA AND ASSOCIATES CORPORATION

MEDICARE: MOROTE ARIZA AND ASSOCIATES CORPORATION
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
1101YM0800XMental Health Counselor180006242IL
2101YP2500XProfessional Counselor180006242IL
3106H00000XMarriage & Family Therapist180006242IL
4103T00000XPsychologist180006242IL

General Provider Information

NPI Number : 1013259852
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOROTE ARIZA AND ASSOCIATES CORPORATION
Provider Business Mailing Address
First Line : 5030 W DAKIN ST
Second Line :
City : CHICAGO
State : IL
Zip : 60641-2608
Country : US
Telephone Number : 773-620-4491
Fax Number : 773-253-5812
Provider Business Practice Location Address
First Line : 2755 N PINE GROVE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60614-6109
Country : US
Telephone Number : 773-620-4491
Fax Number : 773-253-5812
Authorized Official
Title or Position : PRESIDENT
Name : DR. S SANCHEZALVADOR GUILLERMO MOROTE
Credential : PSYD
Telephone Number : 773-620-4491
Provider Enumeration Date : 03/19/2013
Last Update Date : 03/19/2013

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