Provider Information for 1043687676
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LAILA MARIA ASHKAZARI LCPC
Sex: Female
NPI: 1043687676
Last Updated: 2022-10-12
Certification Date: 2022-10-12
Certification Date: 2022-10-12
Details
| Name | Value | ||||||||||||||||
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| NPI | 1043687676 | ||||||||||||||||
| Enumeration Date | 2015-08-31 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 715 SEWARD ST APT 1N EVANSTON, IL 60202-2940 United States Phone: 615-525-1054 | Fax: | ||||||||||||||||
| Primary Practice Address | 715 SEWARD ST APT 1N EVANSTON, IL 60202-2940 United States Phone: 615-525-1054 | Fax: | ||||||||||||||||
| Secondary Practice Address(es) | 10024 SKOKIE BLVD STE 211 3310 PERIMETER HILL DR | ||||||||||||||||
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