MEDICARE: MELISSA APARICIO

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	121626-13	IL

General Provider Information

NPI Number	:	1972247674
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA APARICIO

Provider Business Mailing Address
First Line	:	3640 W FILLMORE ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60624-4309
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3640 W FILLMORE ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60624-4309
Country	:	US
Telephone Number	:	773-588-0180
Fax Number	:

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

Provider Enumeration Date	:	04/27/2022
Last Update Date	:	04/27/2022

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Directions to “ MELISSA APARICIO ” Practice Location

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