NPI 1104296698 · live from the CMS NPI Registry
Angie Arreola-Omalley
Marriage & Family Therapist in Chicago, IL. National Provider Identifier 1104296698, active.
NPI record
| NPI | 1104296698 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 3436 W Wilson Ave, Chicago, IL 60625 |
| Practice phone | 872-249-9421 |
| Mailing address | 811 N Rockwell St, Chicago, IL 60622 |
| Enumerated | September 28, 2015 |
| Last updated | January 24, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | 166001320 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.