Individual
DANIELA MICHELLE VIDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
332 S MICHIGAN AVE, SUITE 121 #5125, CHICAGO, IL 60604-4302
(312) 308-0218
Mailing address
332 S MICHIGAN AVE, SUITE 121 #5125, CHICAGO, IL 60604-4302
(312) 308-0218
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.022481
IL
Other
Enumeration date
09/01/2020
Last updated
05/15/2026
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