Individual
HEATHER TOMAINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4950 IL ROUTE 173, POPLAR GROVE, IL 61065-9718
(815) 765-2113
Mailing address
4950 IL ROUTE 173, POPLAR GROVE, IL 61065-9718
(815) 765-2113
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.116494
IL
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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