Doctor Name: | ERILDA BORICI |
NPI Number: | 1013320886 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LCPC |
License Number: | 180009070 |
Business Practice Address: | 950 Lee St Suite 210 Des Plaines, IL - 600166532 |
Business Phone Number: | 7732786500 |
Business Fax Number: | |
Mailing Address: | 1432 N Elk Grove Ave Apt 3r, CHICAGO |
State: | IL |
Postal Code: | 606222034 |
Phone Number: | 4148810418 |
Fax Number: | |
NPI Enumeration Date: | 06/09/2014 |
NPI Last Update Date: | 06/08/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 180009070 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |