Individual
LIZABETH FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1640 W ROOSEVELT RD, MC 727, CHICAGO, IL 60608-1316
(312) 413-1800
(312) 413-1593
Mailing address
1640 W ROOSEVELT RD, MC 727, CHICAGO, IL 60608-1316
(312) 413-1800
(312) 413-1593
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.014698
IL
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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