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Gabriella Bonucci

Counselor, Professional in Chicago, IL. Individual provider (NPI-1).

NPI number1831925320
StatusActive
Last updated in NPPESSep 11, 2024

Details

NPI
1831925320
Entity type
Individual (NPI-1)
Name
Gabriella Bonucci
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 11, 2024
Certification date
Sep 4, 2024
Last updated
Sep 11, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional178.020519ILYes

Practice location

1700 W Irving Park Rd Ste 302
Chicago, IL 60613-2462

Phone 312-248-2882

Mailing address

933 W Cornelia Ave Apt 1a
Chicago, IL 60657-1762

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