| 13-lunas Llc | |
|
1418 N 19th Ave Melrose Park IL 60160-3224 | |
| (708) 996-7745 | |
| Not Available |
| Full Name | 13-lunas Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1418 N 19th Ave, Melrose Park, Illinois |
| Authorized Official Name and Position | Araceli Chaidez Cano (OWNER) |
| Authorized Official Contact | 7089967745 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 13-lunas Llc 1418 N 19th Ave Melrose Park IL 60160-3224 Ph: (708) 996-7745 | 13-lunas Llc 1418 N 19th Ave Melrose Park IL 60160-3224 Ph: (708) 996-7745 |
| NPI Number | 1821833245 |
|---|---|
| Provider Enumeration Date | 06/27/2024 |
| Last Update Date | 06/27/2024 |
| Certification Date | 06/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821833245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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