| Diana Alejandro, Lcsw, Llc | |
|
819 Circle Ave Forest Park IL 60130-2024 | |
| (224) 341-8198 | |
| Not Available |
| Full Name | Diana Alejandro, Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 819 Circle Ave, Forest Park, Illinois |
| Authorized Official Name and Position | Diana Alejandro (SOLE MEMBER) |
| Authorized Official Contact | 2243418198 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diana Alejandro, Lcsw, Llc 1116 Garfield St Unit 4496 Oak Park IL 60304-0762 Ph: (224) 341-8198 | Diana Alejandro, Lcsw, Llc 819 Circle Ave Forest Park IL 60130-2024 Ph: (224) 341-8198 |
| NPI Number | 1598292195 |
|---|---|
| Provider Enumeration Date | 05/15/2017 |
| Last Update Date | 06/08/2022 |
| Certification Date | 06/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598292195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149018457 (Illinois) | Primary |
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