SearchIllinoisCounselor

Mary Farrelly

NPI 1770976342 · on the registry since 2015 · sole proprietor

Practice

Address
5408 W Devon Ave
Chicago, IL 60646
Phone
(773) 594-0921
Organisation at this address
Active Visions, Inc.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Counselor
101Y00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-03-06

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