Provider Demographics
NPI:1013259852
Name:MOROTE ARIZA AND ASSOCIATES CORPORATION
Entity Type:Organization
Organization Name:MOROTE ARIZA AND ASSOCIATES CORPORATION
Other - Org Name:MOROTE, ARIZA AND ASSOCIATES CORPORATION
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:S SANCHEZALVADOR
Authorized Official - Middle Name:GUILLERMO
Authorized Official - Last Name:MOROTE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:773-620-4491
Mailing Address - Street 1:5030 W DAKIN ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60641-2608
Mailing Address - Country:US
Mailing Address - Phone:773-620-4491
Mailing Address - Fax:773-253-5812
Practice Address - Street 1:2755 N PINE GROVE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-6109
Practice Address - Country:US
Practice Address - Phone:773-620-4491
Practice Address - Fax:773-253-5812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-19
Last Update Date:2013-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180006242101YM0800X, 101YP2500X, 103T00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty