Individual
DR. ELEANOR ELIZABETH JUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
10343 S WESTERN AVE, CHICAGO, IL 60643-2410
(773) 340-2329
(708) 974-3845
Mailing address
2954 W 57TH ST # 2, CHICAGO, IL 60629-2141
(612) 619-1976
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-010488
IL
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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