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NPI Code Detail

MEDICARE: GISEL S ROMERO

MEDICARE:   GISEL S 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
1101YM0800XMental Health Counselor149.021826IL

General Provider Information

NPI Number : 1356031330
Entity Type Code : Individual
Provider Name (Legal Business Name) : GISEL S ROMERO
Provider Business Mailing Address
First Line : 4141 N KEDZIE AVE STE 2
Second Line :
City : CHICAGO
State : IL
Zip : 60618-2479
Country : US
Telephone Number : 262-427-8827
Fax Number :
Provider Business Practice Location Address
First Line : 4141 N KEDZIE AVE STE 2
Second Line :
City : CHICAGO
State : IL
Zip : 60618-2479
Country : US
Telephone Number : 262-427-8827
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2023
Last Update Date : 05/11/2023

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Directions to “ GISEL S ROMERO ” Practice Location

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