Individual
ANITA ILIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
7725 BROADWAY, SUITE A, MERRILLVILLE, IN 46410
(219) 736-1000
Mailing address
1514 W 99TH PL, CROWN POINT, IN 46307-5400
(219) 796-7447
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IN
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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