Organization · Type 2 NPI
Fly Radical Therapy, LLC
Professional Counselor · Chicago, IL
NPI number
1720745912
Active
Practice location
2659 W Division St
Chicago, IL 60622-2851
Mailing address
1711 W Jarvis Ave
Chicago, IL 60626-1600
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
3 other providers at this address
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About NPI 1720745912
Fly Radical Therapy, LLC's National Provider Identifier is 1720745912, issued on Nov 22, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Nov 22, 2021.