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Search › Illinois › 103T00000X

Ivelisse Burgo, PSYD, LPC, NCC

NPI 1083169791 · on the registry since 2016

Practice

Address
828 Davis St Ste 213
Evanston, IL 60201
Phone
(312) 781-2850
Fax
(847) 972-6445
Organisation at this address
Choice Rehab Inc.
Choice Rehab Inc.
Bobis Denterprises, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
103T00000X
103T00000X
Also registered as
101YP2500X
390200000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-05-31

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