IndividualActive
Mario Salem
NPI 1831059070 · Psychiatric/Mental Health Clinical Nurse Specialist · Chicago, IL
Provider details
- NPI number
- 1831059070
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 041454641 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1122 W Catalpa Ave Apt 911
Chicago, IL 60640-7091
Phone: (248) 770-2466
Approximate (ZIP-level) locationGet directions
Mailing address
1122 W Catalpa Ave Apt 911
Chicago, IL 60640-7091
Registry dates
- Enumerated
- 2025-11-12
- Last updated
- 2025-11-12
- Certified
- 2025-11-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.