MEDICARE: ALMA LIZETH QUIROZ

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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1386422202
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALMA LIZETH QUIROZ

Provider Business Mailing Address
First Line	:	1300 W BELMONT AVE STE 401
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-3200
Country	:	US
Telephone Number	:	312-813-7701
Fax Number	:

Provider Business Practice Location Address
First Line	:	1300 W BELMONT AVE STE 401
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-3200
Country	:	US
Telephone Number	:	312-813-7701
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2023
Last Update Date	:	01/14/2026

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