SearchIllinois101YM0800X

Jelisa Powell

NPI 1164150959 · on the registry since 2022 · sole proprietor

Practice

Address
5349 N Winthrop Ave # 2
Chicago, IL 60640
Phone
(312) 298-9402
Organisation at this address
Starla R. Sholl, Lcsw, Pc
Inferred from a shared address, not stated in the registry.

Additional practice sites

  • 1425 N Lorel Ave, Chicago, IL

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-08-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois