Individual
GERLINDE MARIE PARVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
17 N CATHERINE AVE, LA GRANGE, IL 60525-5929
(708) 866-1700
Mailing address
17 N CATHERINE AVE, LA GRANGE, IL 60525-5929
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
150.106663
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150.106663
NONE
IL
Enumeration date
01/28/2022
Last updated
01/28/2022
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