Individual provider · NPI-1
Gabriella Campo
Clinic/Center, Mental Health (Including Community Mental Health Center) · Grayslake, IL
NPI number1053157248
StatusActive
Last updated in NPPESJul 8, 2024
Details
- NPI
- 1053157248
- Entity type
- Individual (NPI-1)
- Name
- Gabriella Campo
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 8, 2024
- Certification date
- Jul 7, 2024
- Last updated
- Jul 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
100 N Atkinson RdGrayslake, IL 60030-7801
Phone 847-441-5600
Mailing address
1545 N Patton AveArlington Heights, IL 60004-3617
Phone 847-797-4584
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