MARK PETROELJE LLC NPI 1821441494

NPI Information

MARK PETROELJE, LLC is a professional counselor in Chicago, IL. MARK PETROELJE, LLC NPI is 1821441494. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1000 W DIVERSEY PKWY
SUITE 260
CHICAGO, IL
ZIP 60614-879
Phone: (312) 502-9014

The provider's authorized official is Mark Robert Petroelje .
The authorized official title is Clinical Professional Counselor and has the following contact phone number (312) 502-9014.

The enumeration date for this NPI number is 7/19/2016 and was last updated on 7/19/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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