| Christine T Bellosa Ma Lcpc Incorporated | |
|
350 S Northwest Hwy Ste 300 Park Ridge IL 60068-4216 | |
| (847) 656-5259 | |
| (847) 656-5201 |
| Full Name | Christine T Bellosa Ma Lcpc Incorporated |
|---|---|
| Speciality | Counselor - Professional |
| Location | 350 S Northwest Hwy, Park Ridge, Illinois |
| Authorized Official Name and Position | Christinee T Bellosa (OWNER/THERAPIST) |
| Authorized Official Contact | 3124208597 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christine T Bellosa Ma Lcpc Incorporated 7730 W Jerome St Chicago IL 60631-4226 Ph: (312) 420-8597 | Christine T Bellosa Ma Lcpc Incorporated 350 S Northwest Hwy Ste 300 Park Ridge IL 60068-4216 Ph: (847) 656-5259 |
| NPI Number | 1205389087 |
|---|---|
| Provider Enumeration Date | 07/28/2016 |
| Last Update Date | 07/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205389087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180007252 (Illinois) | Primary |
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