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NPI Code Detail

MEDICARE: MRS. MARIA PAZ RIBADENEIRA

MEDICARE: MRS. MARIA PAZ RIBADENEIRA
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
1390200000XStudent in an Organized Health Care Education/Training Program
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1649998535
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARIA PAZ RIBADENEIRA
Provider Business Mailing Address
First Line : 3226 N SHEFFIELD AVE APT 2
Second Line :
City : CHICAGO
State : IL
Zip : 60657-2499
Country : US
Telephone Number : 312-485-7147
Fax Number :
Provider Business Practice Location Address
First Line : 715 LAKE ST STE 800
Second Line :
City : OAK PARK
State : IL
Zip : 60301-1417
Country : US
Telephone Number : 847-331-8779
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2022
Last Update Date : 04/11/2023

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Directions to “ MRS. MARIA PAZ RIBADENEIRA ” Practice Location

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