MISS RITA J DOLIS I


Address: 1607 W Howard, Third Fl, Chicago, IL 60626
Phone: 3127447617

MISS RITA J DOLIS I (NPI# 1679885180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679885180
Entity Type Individual
Full Name MISS RITA J DOLIS I
Other Name MISS RITA J DOLIS
Practice Address 1607 W Howard
Third Fl
Chicago
IL 60626
Mailing Address 1607 W Howard St
Third Fl
Chicago
IL 60626-1675
Practice Telephone 3127447617
Mailing Telephone 3127447617
Enumeration Date 2010-07-13
Last Update Date 2010-07-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
1507 CADC IL Behavioral Health & Social Service Providers

Office Location

Street Address 1607 W HOWARD
THIRD FL
City CHICAGO
State IL
Zip Code 60626

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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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1710528518 Gateway Professional Services, PC Counselor 55 E Jackson Blvd Ste 1500, Chicago, IL 60604-4184 2019-10-02
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1336790310 Robert J Smith Counselor 2544 W Irving Park Rd Apt 1e, Chicago, IL 60618-3752 2019-09-22
1255997987 Austin Hall Counselor 2942 W Lake St, Chicago, IL 60612-1924 2019-05-17
1417418914 Monica Connelly Counselor 800 N Lake Shore Dr Ste 800, Chicago, IL 60611-2402 2019-03-27
1336608439 Columbus Manor Counselor 5107 W Jackson Blvd, Chicago, IL 60644-4316 2019-03-18
1972062958 Patricia B Flaherty Counselor 210 S Desplaines St Apt 1407, Chicago, IL 60661-5570 2019-03-18
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Competitor

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City CHICAGO
Zip Code 60626

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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