Alvarez Serrano, Mario
Alvarez Serrano, Mario is an sole proprietor health care provider with primary practice located at 332 S Michigan Ave Ste 121 , Chicago IL 60604-4302. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Alvarez Serrano, Mario can be contacted via phone (312) 513-7771.Contact Information
Primary practice address
332 S Michigan Ave Ste 121
Chicago IL 60604-4302
Phone: (312) 513-7771
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 180.011027 | Illinois |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 180.011027 | Illinois |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 180.011027 | Illinois |
Profile Details
NPI number | 1730649781 |
---|---|
LBN Legal business name | Alvarez Serrano, Mario |
Credentials | LCPC, LMHC, NCC, JD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 24th, 2019 |
Last updated | Nov 17th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1730649781 | NPPES |
Illinois | Other | 14426840 | CAQH PROVIDER ID |
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