| Yesenia Romo | |
|
510 Ferdinand Ave Forest Park IL 60130-1804 | |
| (708) 808-7393 | |
| Not Available |
| Full Name | Yesenia Romo |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 510 Ferdinand Ave, Forest Park, Illinois |
| Authorized Official Name and Position | Yesenia Romo (OWNER) |
| Authorized Official Contact | 7088087393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yesenia Romo 510 Ferdinand Ave Forest Park IL 60130-1804 Ph: (708) 808-7393 | Yesenia Romo 510 Ferdinand Ave Forest Park IL 60130-1804 Ph: (708) 808-7393 |
| NPI Number | 1033802756 |
|---|---|
| Provider Enumeration Date | 05/30/2023 |
| Last Update Date | 05/30/2023 |
| Certification Date | 05/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033802756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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