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6925 Cermak Rd Berwyn IL 60402-2248 | |
| (708) 567-7342 | |
| (949) 437-2647 |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6925 Cermak Rd, Berwyn, Illinois |
| Authorized Official Name and Position | Maylin Alunan (ADMINISTRATOR) |
| Authorized Official Contact | 6302800607 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3547 Ridgeland Ave Berwyn IL 60402-3848 Ph: (708) 567-7342 | 6925 Cermak Rd Berwyn IL 60402-2248 Ph: (708) 567-7342 |
| NPI Number | 1922690312 |
|---|---|
| Provider Enumeration Date | 02/07/2021 |
| Last Update Date | 02/10/2021 |
| Certification Date | 02/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922690312 | NPI | - | NPPES |
| 149022511 | Other | IL | LCSW LICENSE |
| 1518556778 | Other | IL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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